Provider Demographics
NPI:1770915530
Name:RICHARDS, STEVEN ANDREW (DMD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:ANDREW
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 1:270 CEDAR SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29302-4654
Mailing Address - Country:US
Mailing Address - Phone:864-583-4962
Mailing Address - Fax:864-583-6333
Practice Address - Street 1:270 CEDAR SPRINGS RD
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29302-4654
Practice Address - Country:US
Practice Address - Phone:864-583-4962
Practice Address - Fax:864-583-6333
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-05
Last Update Date:2013-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC82551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice