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DR. RANDOLPH MACON RICHARDSON IV DMD MD
NPI 1609803881
Oral & Maxillofacial Surgery in Fort Myers, FL

Active since June 26, 2006
6120 WINKLER RD, STE F, FORT MYERS, FL 33919(239) 437-1500(239) 437-1560 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Randolph Macon Richardson Iv Dmd Md NPPES

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

DR. RANDOLPH MACON RICHARDSON IV DMD MD (NPI 1609803881) is an individual oral & maxillofacial surgery provider in Fort Myers, Florida, licensed in Florida (DN0014165) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1609803881
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. RANDOLPH MACON RICHARDSON IVCredential: DMD MD
Location Address6120 WINKLER RD, STE FFort Myers, FL 33919
Mailing AddressPo Box 07352, 6120 Winkler Rd Ste FFort Myers, FL 33919 · (239) 437-1500 · Fax (239) 437-1560
Phone(239) 437-1500
Fax(239) 437-1560
Sole ProprietorNo
Enumeration DateJune 26, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1609803881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in FL · DN0014165
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
6120 WINKLER RD, Fort Myers, FL 33919
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Other Identifiers 1

Medicare UPINF37842

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADVANCED PAIN MANAGEMENT SPECIALIST
Non-Pharmacy Dispensing Site
6120 WINKLER RD, SUITE J
FORT MYERS, FL 33919
Lee County (239) 437-8000
PRIMARY CARE SPECIALISTS OF
Family Medicine
6120 WINKLER RD, SUITE H
FORT MYERS, FL 33919
Lee County (239) 337-9422
COSSU AND LUKASIEWICZ P A
General Practice
6120 WINKLER RD, STE E
FORT MYERS, FL 33919
Lee County (239) 481-2400
DR. DAVID ISAAC GREENBERG DMD
Dentist
6120 WINKLER RD, SUITE I
FORT MYERS, FL 33919
Lee County (239) 481-6433
ADVANCED LABS OF SW FLORIDA, LLC
Clinical Medical Laboratory
6120 WINKLER RD, SUITE J
FORT MYERS, FL 33919
Lee County (239) 789-4130

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 Randolph Richardson's NPI number?

The NPI number for Randolph Richardson is 1609803881. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Where is Randolph Richardson located?

Randolph Richardson practices at 6120 Winkler Rd Ste F, Fort Myers, FL 33919. The listed phone number is (239) 437-1500.

What is Randolph Richardson's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

What insurance does Randolph Richardson accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Randolph Richardson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Randolph Richardson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.