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Dr. Charles D Randolph, DDS
General Practice Dentistry in Mamaroneck, New York
NPI 1164589107

Charles D Randolph is a General Practice Dentistry based in Mamaroneck, NY and is specialized in General Practice. Charles D Randolph practices in Mamaroneck, NY and has the professional credentials of DDS. The NPI Number for Charles D Randolph is 1164589107 and holds a License No. 028137 (New York).

The current practice location address for Charles D Randolph is 875 Mamaroneck Ave, Mamaroneck, NY and can be reached out via phone at 914-835-6004 and via fax at 914-835-6055.

Location: 875 Mamaroneck Ave, Mamaroneck, NY, 10543-1900
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164589107
Provider Name
Charles D Randolph
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
875 Mamaroneck Ave, Mamaroneck, NY, 10543-1900
Phone Number
914-835-6004
Fax Number
914-835-6055
Provider Enumeration Date
01/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02577842 05 NY
institution
Provider Business Practice Location Address Details
Address
875 Mamaroneck Ave
City
Mamaroneck
State
New York
Zip
10543-1900
Phone Number
914-835-6004
Fax Number
914-835-6055
person
Provider Business Mailing Address Details
Address
875 Mamaroneck Ave
City
Mamaroneck
State
New York
Zip
10543-1900
Phone Number
914-835-6004
Fax Number
914-835-6055
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
028137 (New York)
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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