John Richardson, D.D.S
NPI 1811015183 · on the registry since 2007 · sole proprietor
Practice
- Address
- 908 E Main St
Winneconne, WI 54986 - Phone
- (920) 582-0688
- Fax
- (920) 582-0692
- Organisation at this address
- Upper Lakes Dental, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-01-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin