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

Tanissea Richardson

Individual provider Dental Hygienist · NPI 1174975635

Tanissea Richardson is a Dental Hygienist in Fort Bragg, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2016
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Practice location Address checks out

2817 Reilly St
Fort Bragg, NC 28310-7324
Phone: (910) 643-2196
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X · Licence 9188 (NC)

Record details

NPI number1174975635
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 8, 2016
Last updated in NPPESJuly 8, 2016

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