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Dr. Gregory Dwight Randolph, DDS
Oral and Maxillofacial Surgery (Dentist) in San Antonio, Texas
NPI 1023188299

Gregory Dwight Randolph is a Oral and Maxillofacial Surgery (Dentist) based in San Antonio, TX and is specialized in Oral and Maxillofacial Surgery. Gregory Dwight Randolph practices in San Antonio, TX and has the professional credentials of DDS. The NPI Number for Gregory Dwight Randolph is 1023188299 and holds a License No. D12316 (Texas).

The current practice location address for Gregory Dwight Randolph is 7300 Blanco Rd Ste 100, San Antonio, TX and can be reached out via phone at 210-344-9898 and via fax at 210-344-9118.

Location: 7300 Blanco Rd Ste 100, San Antonio, TX, 78216-4937
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Provider Profile Details
NPI Number
1023188299
Provider Name
Gregory Dwight Randolph
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
7300 Blanco Rd Ste 100, San Antonio, TX, 78216-4937
Phone Number
210-344-9898
Fax Number
210-344-9118
Provider Enumeration Date
11/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D12316 01 TX STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
7300 Blanco Rd Ste 100
City
State
Zip
78216-4937
Phone Number
210-344-9898
Fax Number
210-344-9118
person
Provider Business Mailing Address Details
Address
7300 Blanco Rd Ste 100
City
State
Zip
78216-4937
Phone Number
210-344-9898
Fax Number
210-344-9118
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
D12316 (Texas)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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