Dr. Jack Richardson , DMD
Dentist - General Practice • Bradenton, FL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jack Richardson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Jack Richardson, DMD was a registered Dentist - General Practice practicing in Bradenton, FL. Throughout an active medical career spanning 17 years, Dr. Richardson provided care at the practice location at 3633 CORTEZ RD W until profile deactivation on 2024-11-28.
Practice Location & Contact Primary Location
3633 Cortez Rd W
Bradenton, FL 342103119
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Bradenton, FL
Practicing in Bradenton, FL (7473 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dentist - General Practice
Doctor of Dental Surgery
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on November 28, 2024
NPI status registered as active in NPPES database
Registered at 3633 CORTEZ RD W, BRADENTON, FL 342103119 (Tel: 9417535857)
Registered at 3633 CORTEZ RD W, BRADENTON, FL 342103119 (Tel: 9417535857)
Recorded as JACK RICHARDSON, DMD
Dentist (License #DN4155 in FL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
3633 Cortez Rd W
Bradenton, FL 342103119
Phone: 9417535857
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