Richardson, Daniel Theodore

Richardson, Daniel Theodore is an sole proprietor health care provider with primary practice located at 6865 Deerpath Rd Dorsey Station, Suite 302, Elkridge MD 21075-6257. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Richardson, Daniel Theodore can be contacted via phone (410) 796-3333.

Contact Information

Primary practice address
6865 Deerpath Rd Dorsey Station, Suite 302 Elkridge MD 21075-6257
Phone: (410) 796-3333
Fax: (410) 796-3375
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X D67181 Maryland
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 14259 Maryland
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 14259 Maryland

Profile Details

NPI number 1740271915
LBN Legal business name Richardson, Daniel Theodore
Credentials DMD MD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 4th, 2005
Last updated Jun 1st, 2011 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740271915 NPPES
Maryland Other 9219426 DORAL DENTAL

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