Provider Demographics
NPI:1780705749
Name:FORDJOUR, RICHARD PAUL (DDS)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:PAUL
Last Name:FORDJOUR
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 1:1430 K STREET NW
Mailing Address - Street 2:8TH FLOOR
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20005
Mailing Address - Country:US
Mailing Address - Phone:202-223-6630
Mailing Address - Fax:202-830-0476
Practice Address - Street 1:1430 K STREET NW
Practice Address - Street 2:8TH FLOOR
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005
Practice Address - Country:US
Practice Address - Phone:202-223-6630
Practice Address - Fax:202-830-0476
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN013231122300000X
DCDEN1000985122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist