MR. EUGENE ARTHUR RICHARDSON III (NPI# 1396842282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396842282 |
| Entity Type | Individual |
| Full Name | MR. EUGENE ARTHUR RICHARDSON III |
| Credential | DDS |
| Practice Address |
23 Shore Street Petersburg VA 23803 |
| Practice Telephone | 8048615331 |
| Practice Fax Number | 8048615351 |
| Mailing Telephone | 8048615331 |
| Mailing Fax Number | 8048615351 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 0401005258 | VA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | BCBS ANTHEM DENTAL | 003363 | 01 |
| VA | 9178831 | 05 | |
| VA | BCBS TENNESSEE | 4066921 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003122722 | Eugene Richardson | Internal Medicine | 75 Francis St, Boston, MA 02115-6110 | 2010-08-19 |
| 1235310772 | Eugene Lee Richardson | Specialist | 319 1st Ave, Laurel, MT 59044-3031 | 2007-11-26 |
| Street Address |
23 SHORE STREET |
| City | PETERSBURG |
| State | VA |
| Zip Code | 23803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619523719 | Wise Journey Ltd | Home Health | 325-b Brown Street Suite 132, Petersburg, VA 23803 | 2019-08-14 |
| 1386101699 | Marliqua Barnes | Driver | 601 Carter St, Petersburg, VA 23803 | 2019-02-22 |
| 1356596571 | Quality Healthcare Inc | Community/Behavioral Health | 6111 Duncan Rd, Ste F, Petersburg, VA 23803 | 2008-12-02 |
| 1861614943 | Peoples Family Dental Care | Dentist | 1328 W Washington St, Petersburg, VA 23803 | 2007-05-02 |
| 1841333721 | Family Preservation Services, Inc | Community/Behavioral Health | 1000 Patterson Ave, Petersburg, VA 23803 | 2007-02-14 |
| 1154473155 | Progressive Adult Rehabilitation Center, Inc. | Day Training, Developmentally Disabled Services | 114 North Union Street, Suite B, Petersburg, VA 23803 | 2007-01-18 |
| 1861556615 | Evelyn V. Whitehead | Counselor | 115 E Wythe St, Petersburg, VA 23803 | 2006-12-19 |
| 1538248778 | Raymond Gibson Smith Jr. | Dentist | Seventh Avenue, Hiram Davis Medical Center, Petersburg, VA 23803 | 2006-11-06 |
| 1679594030 | Olumuyiwa Akinniyi Ojediran | Internal Medicine | 734 South Sycamore Street, Petersburg, VA 23803 | 2006-07-21 |
| 1104872019 | Mark Militana | Emergency Medicine | 804 South Adams Street, Petersburg, VA 23803 | 2006-05-25 |
| Find all providers in zip 23803 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649652744 | Jilesh R Gandhi | Dentist | 3277 S Crater Rd Ste C, Petersburg, VA 23805-9285 | 2015-06-24 |
| 1932543345 | Petersburg Dental, Inc. | Dentist | 806 S. Nordic Dr., Petersburg, AK 99833-0469 | 2013-04-29 |
| 1366617904 | James Stephen Kimble | Dentist | 211 Virginia Ave, Petersburg, WV 26847-1715 | 2008-04-24 |
| 1184894404 | Dr. Eugene A. Richardson IIi | Dentist | 23 Shore St, Petersburg, VA 23803-5818 | 2008-03-03 |
| 1114197514 | Paul Douglas Davis | Dentist | 213 N 5th St, Petersburg, IL 62675-1303 | 2008-03-03 |
| 1053507400 | William M Ballance Dds | Dentist | 1964 Wakefield Street, Petersburg, VA 23805 | 2007-09-19 |
| 1861614943 | Peoples Family Dental Care | Dentist | 1328 W Washington St, Petersburg, VA 23803 | 2007-05-02 |
| 1902905391 | Gregory Lee Dunigan | Dentist | 717 S 9th St # 296, Petersburg, IN 47567-1820 | 2006-09-21 |
| 1942312426 | William Marshall Ballance | Dentist | 1964 Wakefield St, Petersburg, VA 23805 | 2006-08-31 |
| 1750352498 | Sheilandice Monique Brown | Dentist | 321c Poplar Dr, Petersburg, VA 23805-9306 | 2006-01-31 |
| Find all providers in PETERSBURG | ||||
| City | PETERSBURG |
| Zip Code | 23803 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.