- Practice location
- 56 South Main Street, Randolph, MA 02368
- Phone
- 508-676-8268
- Fax
- —
- Last updated
- November 8, 2016
Randolph Smiles LLC is a healthcare organization based in Randolph, MA. Randolph Smiles LLC practices in Randolph, MA. The NPI Number for Randolph Smiles LLC is 1043752074 and holds a License No. 18174 (MA). The current practice location address for Randolph Smiles LLC is 56 South Main Street, Randolph, MA 02368 and can be reached out via phone at 508-676-8268.
Provider Profile Details
- NPI Number
- 1043752074
- Provider Name
- Randolph Smiles LLC
- Provider Entity Type
- Organization
- Address
- 56 South Main Street, Randolph, MA 02368
- Phone Number
- 508-676-8268
- Primary Taxonomy
- Dentist · 122300000X
- Organization Subpart
- No
- Authorized Official
- Ramesh Izedian, DMD · Dentist · 508-676-8268
- Other Names
- Dental Associates Randolph (Doing Business As)
- Provider Enumeration Date
- November 8, 2016
- Last Update Date
- November 8, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 56 South Main Street
Randolph, MA 02368 - City
- Randolph
- State
- Massachusetts
- Zip
- 02368
- Phone Number
- 508-676-8268
Provider Business Mailing Address Details
- Address
- 673 Robeson Street
Fall River, MA 02720 - City
- Fall River
- State
- MA
- Zip
- 02720
- Phone Number
- 508-676-8268
License Information
- License Number
- 18174
- License State
- MA
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Randolph, MA
View all Dentists in Randolph →Frequently Asked Questions
What is the NPI number of Randolph Smiles LLC?
The NPI number of Randolph Smiles LLC is 1043752074. It was assigned on November 8, 2016 and is currently active in the NPPES registry.
What is the specialty of Randolph Smiles LLC?
Randolph Smiles LLC is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number 18174.
Where does Randolph Smiles LLC practice?
The practice location is 56 South Main Street, Randolph, MA 02368. The office can be reached at 508-676-8268 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043752074 directly on the NPPES registry website.