| Kenitra C. Richardson, Dmd, Pllc | |
|
10215 Prosperity Park Dr Ste 220 Charlotte NC 28269-1103 | |
| (980) 423-1144 | |
| Not Available |
| Full Name | Kenitra C. Richardson, Dmd, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10215 Prosperity Park Dr Ste 220, Charlotte, North Carolina |
| Authorized Official Name and Position | Kenitra Richardson (DENTIST/OWNER/MANAGER) |
| Authorized Official Contact | 3363148535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenitra C. Richardson, Dmd, Pllc 10215 Prosperity Park Dr Ste 220 Charlotte NC 28269-1103 Ph: (980) 423-1144 | Kenitra C. Richardson, Dmd, Pllc 10215 Prosperity Park Dr Ste 220 Charlotte NC 28269-1103 Ph: (980) 423-1144 |
| NPI Number | 1013675842 |
|---|---|
| Provider Enumeration Date | 11/29/2021 |
| Last Update Date | 11/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013675842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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George J Stuart Jr Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2040 A Randolph Rd, Charlotte, NC 28207 Phone: 704-377-1885 Fax: 704-374-1731 | |
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Monique D Mceachern Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10226 Couloak Drive, Ste 100, Charlotte, NC 28216 Phone: 704-971-7272 Fax: 704-971-7522 | |
Drs Reimels & Miller Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3410 Central Ave, Charlotte, NC 28205 Phone: 704-900-7301 | |
South Park Oral Surgery Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2719 Coltsgate Rd, Charlotte, NC 28211 Phone: 704-366-8707 Fax: 704-366-8717 | |
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