El Shaddai Dental
Dentist, General Practice in Randolph, Massachusetts
1336266980- Practice location
- 1134 N Main St, Randolph, MA 02368-2130
- Phone
- 781-986-8800
- Fax
- 781-986-1600
- Last updated
- July 14, 2008
El Shaddai Dental is a healthcare organization based in Randolph, MA. El Shaddai Dental practices in Randolph, MA. The NPI Number for El Shaddai Dental is 1336266980 and holds a License No. 19621 (MA). The current practice location address for El Shaddai Dental is 1134 N Main St, Randolph, MA 02368-2130 and can be reached out via phone at 781-986-8800 and via fax at 781-986-1600.
Provider Profile Details
- NPI Number
- 1336266980
- Provider Name
- El Shaddai Dental
- Provider Entity Type
- Organization
- Address
- 1134 N Main St, Randolph, MA 02368-2130
- Phone Number
- 781-986-8800
- Fax Number
- 781-986-1600
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Dr. Anthony Olatunji, DM D · Owner · 781-986-8800
- Provider Enumeration Date
- March 26, 2007
- Last Update Date
- July 14, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1134 N Main St
Randolph, MA 02368-2130 - City
- Randolph
- State
- Massachusetts
- Zip
- 02368-2130
- Phone Number
- 781-986-8800
- Fax Number
- 781-986-1600
Provider Business Mailing Address Details
- Address
- 1134 N Main St
Randolph, MA 02368-2130 - City
- Randolph
- State
- MA
- Zip
- 02368-2130
- Phone Number
- 781-986-8800
- Fax Number
- 781-986-1600
License Information
- License Number
- 19621
- License State
- MA
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 El Shaddai Dental?
The NPI number of El Shaddai Dental is 1336266980. It was assigned on March 26, 2007 and is currently active in the NPPES registry.
What is the specialty of El Shaddai Dental?
El Shaddai Dental is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 19621.
Where does El Shaddai Dental practice?
The practice location is 1134 N Main St, Randolph, MA 02368-2130. The office can be reached at 781-986-8800 (phone) or 781-986-1600 (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 1336266980 directly on the NPPES registry website.