Active NPIOrganization

Randolph Family Dentistry PC

Dentist in Randolph, Massachusetts

NPI Number1184155590
Practice location
56 S Main St, Randolph, MA 02368-4861
Fax
—
Last updated
March 27, 2017

Randolph Family Dentistry PC is a healthcare organization based in Randolph, MA. Randolph Family Dentistry PC practices in Randolph, MA. The NPI Number for Randolph Family Dentistry PC is 1184155590 and holds a License No. 20104 (MA). The current practice location address for Randolph Family Dentistry PC is 56 S Main St, Randolph, MA 02368-4861 and can be reached out via phone at 781-963-0860.

Provider Profile Details

NPI Number
1184155590
Provider Name
Randolph Family Dentistry PC
Provider Entity Type
Organization
Address
56 S Main St, Randolph, MA 02368-4861
Phone Number
781-963-0860
Primary Taxonomy
Dentist · 122300000X
Organization Subpart
No
Authorized Official
Dr. Eyad Salloum, DMD · Dentist · 781-963-0860
Provider Enumeration Date
March 27, 2017
Last Update Date
March 27, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
56 S Main St
Randolph, MA 02368-4861
Zip
02368-4861
Phone Number
781-963-0860
Randolph, MA 02368Get directions →

Provider Business Mailing Address Details

Address
3 Lt Anderson Dr
Foxboro, MA 02035-1372
City
Foxboro
State
MA
Zip
02035-1372
Phone Number
617-462-8728

License Information

License Number
20104
License State
MA
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Randolph Family Dentistry PC?

The NPI number of Randolph Family Dentistry PC is 1184155590. It was assigned on March 27, 2017 and is currently active in the NPPES registry.

What is the specialty of Randolph Family Dentistry PC?

Randolph Family Dentistry PC is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number 20104.

Where does Randolph Family Dentistry PC practice?

The practice location is 56 S Main St, Randolph, MA 02368-4861. The office can be reached at 781-963-0860 (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 1184155590 directly on the NPPES registry website.

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