Dr. Benjamin Quenzer Richardson, DMD
Dentist, General Practice in Deerfield, IL. Individual provider (NPI-1).
NPI number1164097770
StatusActive
Last updated in NPPESJan 4, 2025
Details
- NPI
- 1164097770
- Entity type
- Individual (NPI-1)
- Name
- Dr. Benjamin Quenzer Richardson
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 25, 2021
- Certification date
- Jan 4, 2025
- Last updated
- Jan 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 019.035650 | IL | Yes |
Practice location
95 S Waukegan RdDeerfield, IL 60015-5204
Phone 224-515-7390
Mailing address
1909 W North Ave Apt 2Chicago, IL 60622-1335
Phone 812-550-4391
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All 21 General Practice Dentistry providers in Deerfield · All 955 providers in Deerfield
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