Provider Demographics
NPI:1891888079
Name:RICHARDS, DANIEL L (DMD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:L
Last Name:RICHARDS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1932 LAUREL ROAD
Mailing Address - Street 2:SUITE 1-C
Mailing Address - City:VESTAVIA HILLS
Mailing Address - State:AL
Mailing Address - Zip Code:35216
Mailing Address - Country:US
Mailing Address - Phone:205-823-6300
Mailing Address - Fax:205-823-4522
Practice Address - Street 1:1932 LAUREL ROAD
Practice Address - Street 2:SUITE 1-C
Practice Address - City:VESTAVIA HILLS
Practice Address - State:AL
Practice Address - Zip Code:35216
Practice Address - Country:US
Practice Address - Phone:205-823-6300
Practice Address - Fax:205-823-4522
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL50931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice