RANDOLPH M. RICHARDSON, IV DMD MD – NPI #1609803881
Oral & Maxillofacial Surgery
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
RANDOLPH RICHARDSON, IV is an oral & maxillofacial surgeon located in FORT MYERS, FL. NPPES has assigned the NPI number 1609803881 to RANDOLPH RICHARDSON, IV on June 26, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 204E00000X from the Health Care Provider Taxonomy code set, which is classified as Oral & Maxillofacial Surgery.
The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RANDOLPH RICHARDSON, IV below.
NPI Profile for
RANDOLPH M. RICHARDSON, IV
(about 20 years ago)
STE F
FORT MYERS, FL 33919 Phone: (239) 437-1500 Fax: (239) 437-1560
6120 WINKLER RD STE F
FORT MYERS, FL 33919 Phone: (239) 437-1500 Fax: (239) 437-1560
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 204E00000X - Oral & Maxillofacial Surgery (Primary) |
FL | DN0014165 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.