Mark L Randall, DMD
Dentist in Groton, Massachusetts
1316001233- Practice location
- 16A Hollis St., Groton, MA 01450
- Phone
- 978-448-6814
- Fax
- 978-448-6835
- Last updated
- July 8, 2007
Mark Lane Randall is a Dentist based in Groton, MA. Mark Lane Randall practices in Groton, MA and has the professional credentials of DMD. The NPI Number for Mark Lane Randall is 1316001233 and holds a License No. 14968 (MA). The current practice location address for Mark Lane Randall is 16A Hollis St., Groton, MA 01450 and can be reached out via phone at 978-448-6814 and via fax at 978-448-6835.
Provider Profile Details
- NPI Number
- 1316001233
- Provider Name
- Mark Lane Randall
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 16A Hollis St., Groton, MA 01450
- Phone Number
- 978-448-6814
- Fax Number
- 978-448-6835
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 22, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 16A Hollis St.
Groton, MA 01450 - City
- Groton
- State
- Massachusetts
- Zip
- 01450
- Phone Number
- 978-448-6814
- Fax Number
- 978-448-6835
Provider Business Mailing Address Details
- Address
- 112 Scenic Dr
Leominster, MA 01453-3451 - City
- Leominster
- State
- MA
- Zip
- 01453-3451
- Phone Number
- 978-534-5608
License Information
- License Number
- 14968
- 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 Groton, MA
View all Dentists in Groton →Frequently Asked Questions
What is the NPI number of Mark L Randall, DMD?
The NPI number of Mark L Randall, DMD is 1316001233. It was assigned on December 22, 2006 and is currently active in the NPPES registry.
What is the specialty of Mark L Randall, DMD?
Mark L Randall, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number 14968.
Where does Mark L Randall, DMD practice?
The practice location is 16A Hollis St., Groton, MA 01450. The office can be reached at 978-448-6814 (phone) or 978-448-6835 (fax).
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 1316001233 directly on the NPPES registry website.