IndividualActive
Douglas Richardson, DDS
NPI 1700890340 · Oral and Maxillofacial Surgery (Dentist) · Dayton, OH
Provider details
- NPI number
- 1700890340
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 14501 (OH)
Specialties & taxonomies
Dental Providers
Practice location
4100 W 3rd St
Dental (160)
Dayton, OH 45428-9000
Phone: (937) 262-2102
Fax: (937) 267-5355
Approximate (ZIP-level) locationGet directions
Mailing address
2479 Indian Wells Trl
Xenia, OH 45385-9384
Registry dates
- Enumerated
- 2006-07-28
- 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.