Mrs. Shanta Dianne Richardson is a Ellicott City, Maryland based Pediatric Dentist who is specialized in Pediatric Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Mrs. Shanta Dianne Richardson is 21208 for Pediatric Dentistry in Massachusetts. Her current practice location is 8001 Hillsborough Rd, Suite L, Ellicott City. Patients can reach her at 443-574-8944.
Mrs. Shanta Dianne Richardson provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Mrs. Shanta Dianne Richardson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Mrs. Shanta Dianne Richardson
Specialization:
Pediatric Dentist
Gender:
Female
Credentials:
DMD
Accepts Medicare Assignment:
No
Practice Address:
8001 Hillsborough Rd, Suite L, Ellicott City, Maryland, 21043-6876
Phone:
443-574-8944
Fax:
443-574-8947
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1205800729
NPI Enumeration Date:
13 Feb, 2006
NPI Last Update On:
28 Sep, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Shanta Dianne Richardson are as mentioned below.
License Number
Specialization
State
Status
21208
Pediatric Dentistry
Massachusetts
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Shanta Dianne Richardson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0208469
Medicaid
Massachusetts
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
8001 Hillsborough Rd, Suite L Ellicott City, Maryland
Zip:
21043-6876
Phone Number:
443-574-8944
Fax Number:
443-574-8947
Patients can reach Mrs. Shanta Dianne Richardson at 8001 Hillsborough Rd, Suite L, Ellicott City, Maryland or can call to book an appointment on 443-574-8944. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.