Provider Demographics
NPI:1710081195
Name:BYRD, RICHARD L (DDS)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:L
Last Name:BYRD
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Gender:M
Credentials:DDS
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Mailing Address - Street 1:6740 FOREST HILL AVENUE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23225
Mailing Address - Country:US
Mailing Address - Phone:804-320-4155
Mailing Address - Fax:804-320-4545
Practice Address - Street 1:6740 FOREST HILL AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23225-1844
Practice Address - Country:US
Practice Address - Phone:804-320-4155
Practice Address - Fax:804-320-4545
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0401007026-VA1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics