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Randolph Family Dental Llc
General Practice Dentistry in Randolph, Wisconsin
NPI 1154711190

Randolph Family Dental Llc is a General Practice Dentistry based in Randolph, WI and is specialized in General Practice. Randolph Family Dental Llc practices in Randolph, WI. The NPI Number for Randolph Family Dental Llc is 1154711190 and holds a License No. 3858 (Wisconsin).

The current practice location address for Randolph Family Dental Llc is 125 N High St, Randolph, WI and can be reached out via phone at 920-326-3191.

Location: 125 N High St, Randolph, WI, 53956-1267
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154711190
Provider Name
Randolph Family Dental Llc
Credential
Provider Entity Type
Organization
Address
125 N High St, Randolph, WI, 53956-1267
Phone Number
920-326-3191
Fax Number
Provider Enumeration Date
01/29/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1801955950 01 WI INDIVIDUAL NPI
institution
Provider Business Practice Location Address Details
Address
125 N High St
City
Randolph
State
Wisconsin
Zip
53956-1267
Phone Number
920-326-3191
Fax Number
person
Provider Business Mailing Address Details
Address
125 N High St
City
Randolph
State
Wisconsin
Zip
53956-1267
Phone Number
920-326-3191
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
3858 (Wisconsin)
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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