Provider Demographics
NPI:1609944016
Name:RICHARDS, GEORGE L JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:L
Last Name:RICHARDS
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:'PETE'
Other - Middle Name:
Other - Last Name:RICHARDS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:101 CHADWICK SQUARE CT
Mailing Address - Street 2:STE A
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28739-3232
Mailing Address - Country:US
Mailing Address - Phone:828-696-3337
Mailing Address - Fax:828-696-3342
Practice Address - Street 1:101 CHADWICK SQUARE CT
Practice Address - Street 2:STE A
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28739-3231
Practice Address - Country:US
Practice Address - Phone:828-696-3337
Practice Address - Fax:828-696-3342
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNC 62601223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice