Active NPIIndividual providerSole proprietor

Dr. Randy H Lichtman, DDS

Dentist, General Practice in Bolton, Connecticut

NPI Number1508068313
Practice location
921 Boston Tpke., Bolton, CT 06043
Fax
—
Last updated
July 8, 2007

Randy H Lichtman is a Dentist, General Practice based in Bolton, CT. Randy H Lichtman practices in Bolton, CT and has the professional credentials of DDS. The NPI Number for Randy H Lichtman is 1508068313 and holds a License No. 6566 (CT). The current practice location address for Randy H Lichtman is 921 Boston Tpke., Bolton, CT 06043 and can be reached out via phone at 860-646-3003.

Provider Profile Details

NPI Number
1508068313
Provider Name
Randy H Lichtman
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
921 Boston Tpke., Bolton, CT 06043
Phone Number
860-646-3003
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
June 4, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
921 Boston Tpke.
Bolton, CT 06043
City
Bolton
Zip
06043
Phone Number
860-646-3003
Bolton, CT 06043Get directions →

Provider Business Mailing Address Details

Address
921 Boston Tpke.
P.o. Box 9126
Bolton, CT 06043
City
Bolton
State
CT
Zip
06043
Phone Number
860-646-3003

License Information

License Number
6566
License State
CT
Taxonomy
Dentist, General Practice · 1223G0001X · 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 Dr. Randy H Lichtman, DDS?

The NPI number of Dr. Randy H Lichtman, DDS is 1508068313. It was assigned on June 4, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Randy H Lichtman, DDS?

Dr. Randy H Lichtman, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 6566.

Where does Dr. Randy H Lichtman, DDS practice?

The practice location is 921 Boston Tpke., Bolton, CT 06043. The office can be reached at 860-646-3003 (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 1508068313 directly on the NPPES registry website.

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