Randolph Dental Group LLC
Dentist in Randolph, Massachusetts
1356698443- Practice location
- 15 Warren St, Randolph, MA 02368-4015
- Phone
- 781-963-3800
- Fax
- 781-963-6906
- Last updated
- January 17, 2019
Randolph Dental Group LLC is a healthcare organization based in Randolph, MA. Randolph Dental Group LLC practices in Randolph, MA. The NPI Number for Randolph Dental Group LLC is 1356698443 and holds a License No. 11787 (MA). The current practice location address for Randolph Dental Group LLC is 15 Warren St, Randolph, MA 02368-4015 and can be reached out via phone at 781-963-3800 and via fax at 781-963-6906.
Provider Profile Details
- NPI Number
- 1356698443
- Provider Name
- Randolph Dental Group LLC
- Provider Entity Type
- Organization
- Address
- 15 Warren St, Randolph, MA 02368-4015
- Phone Number
- 781-963-3800
- Fax Number
- 781-963-6906
- Primary Taxonomy
- Dentist · 122300000X
- Organization Subpart
- No
- Authorized Official
- Jane Chaney · Senior Accountant · 781-562-0469
- Provider Enumeration Date
- August 8, 2012
- Last Update Date
- January 17, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 15 Warren St
Randolph, MA 02368-4015 - City
- Randolph
- State
- Massachusetts
- Zip
- 02368-4015
- Phone Number
- 781-963-3800
- Fax Number
- 781-963-6906
Provider Business Mailing Address Details
- Address
- 15 Warren St
Randolph, MA 02368-4015 - City
- Randolph
- State
- MA
- Zip
- 02368-4015
- Phone Number
- 781-963-3800
- Fax Number
- 781-963-6906
License Information
- License Number
- 11787
- 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 Randolph, MA
View all Dentists in Randolph →Frequently Asked Questions
What is the NPI number of Randolph Dental Group LLC?
The NPI number of Randolph Dental Group LLC is 1356698443. It was assigned on August 8, 2012 and is currently active in the NPPES registry.
What is the specialty of Randolph Dental Group LLC?
Randolph Dental Group LLC is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number 11787.
Where does Randolph Dental Group LLC practice?
The practice location is 15 Warren St, Randolph, MA 02368-4015. The office can be reached at 781-963-3800 (phone) or 781-963-6906 (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 1356698443 directly on the NPPES registry website.