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Chantelle Elizabaeth Randall, DDS
General Practice Dentistry in Port Huron, Michigan
NPI 1063185296

Chantelle Elizabaeth Randall is a General Practice Dentistry based in Port Huron, MI and is specialized in General Practice. Chantelle Elizabaeth Randall practices in Port Huron, MI and has the professional credentials of DDS. The NPI Number for Chantelle Elizabaeth Randall is 1063185296 and holds a License No. 2901601063 (Michigan).

The current practice location address for Chantelle Elizabaeth Randall is 1978 Holland Ave, Port Huron, MI and can be reached out via phone at 810-987-7511.

Location: 1978 Holland Ave, Port Huron, MI, 48060-1520
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063185296
Provider Name
Chantelle Elizabaeth Randall
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
1978 Holland Ave, Port Huron, MI, 48060-1520
Phone Number
810-987-7511
Fax Number
Provider Enumeration Date
07/25/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1978 Holland Ave
City
Port Huron
State
Michigan
Zip
48060-1520
Phone Number
810-987-7511
Fax Number
person
Provider Business Mailing Address Details
Address
1978 Holland Ave
City
Port Huron
State
Michigan
Zip
48060-1520
Phone Number
810-987-7511
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
2901601063 (Michigan)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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