IndividualActive
Randolph Richardson, DMD MD
NPI 1609803881 · Oral & Maxillofacial Surgery (D.M.D.) · Fort Myers, FL
Provider details
- NPI number
- 1609803881
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Credential
- DMD MD
- Sex
- Male
- Sole proprietor
- No
- License
- DN0014165 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
6120 Winkler Rd
Ste F
Fort Myers, FL 33919
Phone: (239) 437-1500
Fax: (239) 437-1560
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 07352
Fort Myers, FL 33919
Registry dates
- Enumerated
- 2006-06-26
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.