Richardson, Paul Edward
Richardson, Paul Edward is an individual health care provider with primary practice located at 3452 Graystone Place Se , Hickory NC 28601. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Richardson, Paul Edward can be contacted via phone (828) 322-1667.Contact Information
Primary practice address
3452 Graystone Place Se
Hickory NC 28601
Phone: (828) 322-1667
Fax: (828) 485-3208
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 7320 | North Carolina |
Profile Details
| NPI number | 1942290291 |
|---|---|
| LBN Legal business name | Richardson, Paul Edward |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942290291 | NPPES |
| North Carolina | Other | 90167 | BLUE CROSS BLUE SHIELD |
| North Carolina | Other | 1309318 | BLUE CROSS BLUE SHIELD |
| North Carolina | MEDICAID | 8990167 | BLUE CROSS BLUE SHIELD |
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