Richardson, Andrew Mark

Richardson, Andrew Mark is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Richardson, Andrew Mark can be contacted via phone (601) 815-5461.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 815-5461
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 5927 Alabama

Profile Details

NPI number 1316202120
LBN Legal business name Richardson, Andrew Mark
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2012
Last updated Jul 9th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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