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NPI Code Detail

MEDICARE: DR. RODNEY A. RICHARDS DDS

MEDICARE: DR. RODNEY A. RICHARDS DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry1078VI

General Provider Information

NPI Number : 1417915026
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RODNEY A. RICHARDS DDS
Provider Business Mailing Address
First Line : 351 COLMAR AVE. BLDG. 440
Second Line : SUITE 100
City : FORT STEWART
State : GA
Zip : 31314-4703
Country : US
Telephone Number : 571-801-6773
Fax Number : 571-801-0299
Provider Business Practice Location Address
First Line : 351 W 6TH ST
Second Line : SUITE 100
City : FORT STEWART
State : GA
Zip : 31314-4703
Country : US
Telephone Number : 912-767-6735
Fax Number : 912-767-5425
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2006
Last Update Date : 02/06/2026

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Directions to “ DR. RODNEY A. RICHARDS DDS” Practice Location

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