Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Randolph Macon Richardson IV, DMD, MD

Individual provider Oral & Maxillofacial Surgery (D.M.D.) · NPI 1609803881

Dr. Randolph Macon Richardson IV, DMD, MD is an Oral & Maxillofacial Surgery (D.M.D.) in Fort Myers, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

6120 Winkler Rd Ste F
Fort Myers, FL 33919
Phone: (239) 437-1500
Fax: (239) 437-1560
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X · Licence DN0014165 (FL)

Record details

NPI number1609803881
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD , MD
Sole proprietorNo
NPI enumeratedJune 26, 2006
Last updated in NPPESJuly 8, 2007

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