Provider Demographics
NPI:1295816098
Name:RICHARDSON, STEVEN Z (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:Z
Last Name:RICHARDSON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5865 LEHMAN DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-3422
Mailing Address - Country:US
Mailing Address - Phone:719-598-8118
Mailing Address - Fax:719-598-8535
Practice Address - Street 1:5865 LEHMAN DR
Practice Address - Street 2:SUITE 200
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-3422
Practice Address - Country:US
Practice Address - Phone:719-598-8118
Practice Address - Fax:719-598-8535
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO71011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice