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Dr. Randall Duck, DDS
General Practice Dentistry in Winston Salem, North Carolina
NPI 1396871240

Randall Duck is a General Practice Dentistry based in Winston Salem, NC and is specialized in General Practice. Randall Duck practices in Winston Salem, NC and has the professional credentials of DDS. The NPI Number for Randall Duck is 1396871240 and holds a License No. 04630 (North Carolina).

The current practice location address for Randall Duck is 3744 Vest Mill Rd, Winston Salem, NC and can be reached out via phone at 336-760-2500.

Location: 3744 Vest Mill Rd, Winston Salem, NC, 27103-2912
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396871240
Provider Name
Randall Duck
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
3744 Vest Mill Rd, Winston Salem, NC, 27103-2912
Phone Number
336-760-2500
Fax Number
Provider Enumeration Date
02/26/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
163727 01 TN CIGNA DMO
63611 01 PA UNITED CONCORDIA
04630 01 NC DENTAL LICENSE
92211 01 NC BC OF NC
163727 01 NC CIGNA DMO
institution
Provider Business Practice Location Address Details
Address
3744 Vest Mill Rd
City
Winston Salem
State
North Carolina
Zip
27103-2912
Phone Number
336-760-2500
Fax Number
person
Provider Business Mailing Address Details
Address
3744 Vest Mill Rd
City
Winston Salem
State
North Carolina
Zip
27103-2912
Phone Number
336-760-2500
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
04630 (North Carolina)
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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