Benjamin Quenzer Richardson, DMD

General Practice Dentistry · Deerfield, IL

Individual Active NPI

NPI number 1164097770

Practice location

95 S Waukegan Rd
Deerfield, IL 60015-5204
Phone
(224) 515-7390

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NPI record

NPI
1164097770
Entity type
Individual (Type 1)
Enumeration date
May 25, 2021
Last updated
January 4, 2025
Certified
January 4, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 019.035650 IL

Mailing address

1909 W North Ave Apt 2
Chicago, IL 60622-1335
Phone
(812) 550-4391

About Dr. Richardson

Benjamin Quenzer Richardson, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 95 S Waukegan Rd, Deerfield, IL 60015-5204. The NPI number 1164097770 was assigned on May 25, 2021 and the record was last updated on January 4, 2025.

Dr. Richardson lists a license in the registry: #019.035650 (IL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Benjamin Quenzer Richardson, DMD?

The NPI number is 1164097770.

What is the phone number of Dr. Richardson?

The phone number listed for the practice location is (224) 515-7390.

Where is Dr. Richardson located?

95 S Waukegan Rd, Deerfield, IL 60015-5204.

What is the taxonomy code for Dr. Richardson?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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