OrganizationActive
Gregory L. Richardson Dds.ms.pa
NPI 1033380423 · Exclusive Provider Organization · Wilmington, NC
Provider details
- NPI number
- 1033380423
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Gregory Richardson, Owner(910) 452-7988
- License
- 5744 (NC)
Specialties & taxonomies
Managed Care Organizations
Practice location
2606 Iron Gate Dr
Suite 101
Wilmington, NC 28412-2573
Phone: (910) 452-7988
Fax: (910) 452-7632
Approximate (ZIP-level) locationGet directions
Mailing address
2606 Iron Gate Dr
Wilmington, NC 28412-2573
Registry dates
- Enumerated
- 2008-03-13
- Last updated
- 2008-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.