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Contact Information

KENITRA C RICHARDSON, DMD
308 BREWER ST
ASHEBORO, NC27203
 Phone: 336-610-7000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for KENITRA C RICHARDSON · (Female)

NPI # 1053805176
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 06/21/2018
Last updated 06/23/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 11054
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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