National Provider Identifier
Ian Richardson
Ian Richardson is listed in the NPPES registry with a primary specialty of Dentist in Tonawanda, NY and a listed phone number of (315) 460-5030.
Profile Overview
- NPI
- 1750973913
- Provider Type
- Individual
- Primary Specialty
- Dentist
- Enumeration Date
- February 09, 2021
- Last Updated
- February 24, 2023
Practice Location
- 197 Treadwell RD
- Tonawanda, NY 14150-8821
Phone: (315) 460-5030
Specialties
- Dentist (122300000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1750973913
- Entity Type
- Individual
- Last Name
- Richardson
- First Name
- Ian
- Mailing Street Address
- 197 Treadwell RD
- Mailing City
- Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14150-8821
- Mailing Country
- US
- Mailing Phone
- (315) 460-5030
- Practice Street Address
- 197 Treadwell RD
- Practice City
- Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14150-8821
- Practice Country
- US
- Practice Phone
- (315) 460-5030
- Enumeration Date
- February 09, 2021
- Last Updated
- February 24, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- February 24, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dentist (122300000X), Student in an Organized Health Care Education/Training Program (390200000X)