KENITRA C. RICHARDSON, DMD, PLLC
NPI 1013675842
Dentist - General Practice in Charlotte, NC

Q: What is Kenitra C. Richardson, Dmd, PLLC's NPI number?

The NPI number for Kenitra C. Richardson, Dmd, PLLC is 1013675842. It was assigned to this organization in the NPPES registry on November 29, 2021. The provider is doing business as Peace Haven Smiles.

Q: What is Kenitra C. Richardson, Dmd, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since November 29, 2021

10215 PROSPERITY PARK DR STE 220, CHARLOTTE, NC 28269(980) 423-1144 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kenitra C. Richardson, Dmd, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENITRA C. RICHARDSON, DMD, PLLC (NPI 1013675842), doing business as Peace Haven Smiles, is a healthcare organization registered as a general practice in Charlotte, North Carolina and active in the NPI registry since November 2021. The organization lists Kenitra Richardson, Dentist/owner/manager, as its authorized official.

NPPES Registry Identity

NPI1013675842

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameKENITRA C. RICHARDSON, DMD, PLLC

Location Address10215 PROSPERITY PARK DR STE 220Charlotte, NC 28269-1103

Mailing Address10215 Prosperity Park Dr Ste 220Charlotte, NC 28269-1103 · (980) 423-1144 · Fax (980) 423-1188

Phone(980) 423-1144

Organization SubpartNo

Authorized OfficialKenitra RichardsonDentist/owner/manager · (336) 314-8535

Enumeration DateNovember 29, 2021

NPPES CertifiedNovember 29, 2021

✔ NPI 1013675842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

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.

10215 PROSPERITY PARK DR STE 220, Charlotte, NC 28269

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Other Names 1

Doing Business AsPeace Haven Smiles

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenitra C. Richardson, Dmd, PLLC's NPI number?

The NPI number for Kenitra C. Richardson, Dmd, PLLC is 1013675842. It was assigned to this organization in the NPPES registry on November 29, 2021. The provider is doing business as Peace Haven Smiles.

Where is Kenitra C. Richardson, Dmd, PLLC located?

Kenitra C. Richardson, Dmd, PLLC is located at 10215 Prosperity Park Dr Ste 220, Charlotte, NC 28269. The listed phone number is (980) 423-1144.

What is Kenitra C. Richardson, Dmd, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Kenitra C. Richardson, Dmd, PLLC was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.