Active NPIOrganization

Dental Associates Randolph

Dentist in Randolph, Massachusetts

NPI Number1629520887
Practice location
56 S Main Street, Randolph, MA 02368-4861
Fax
—
Last updated
November 3, 2016

Dental Associates Randolph is a healthcare organization based in Randolph, MA. Dental Associates Randolph practices in Randolph, MA. The NPI Number for Dental Associates Randolph is 1629520887 and holds a License No. 18174 (MA). The current practice location address for Dental Associates Randolph is 56 S Main Street, Randolph, MA 02368-4861 and can be reached out via phone at 617-323-3443.

Provider Profile Details

NPI Number
1629520887
Provider Name
Dental Associates Randolph
Provider Entity Type
Organization
Address
56 S Main Street, Randolph, MA 02368-4861
Phone Number
617-323-3443
Primary Taxonomy
Dentist · 122300000X
Organization Subpart
No
Authorized Official
Ramesh Izedian, DMD · Dentist · 617-953-9647
Other Names
Dental Associates Randolph (Other Name)
Provider Enumeration Date
November 3, 2016
Last Update Date
November 3, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
56 S Main Street
Randolph, MA 02368-4861
Zip
02368-4861
Phone Number
617-323-3443
Randolph, MA 02368Get directions →

Provider Business Mailing Address Details

Address
673 Robeson Street
Fall River, MA 02720
City
Fall River
State
MA
Zip
02720
Phone Number
508-676-8268

License Information

License Number
18174
License State
MA
Taxonomy
Dentist · 122300000X · 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 Dental Associates Randolph?

The NPI number of Dental Associates Randolph is 1629520887. It was assigned on November 3, 2016 and is currently active in the NPPES registry.

What is the specialty of Dental Associates Randolph?

Dental Associates Randolph is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number 18174.

Where does Dental Associates Randolph practice?

The practice location is 56 S Main Street, Randolph, MA 02368-4861. The office can be reached at 617-323-3443 (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 1629520887 directly on the NPPES registry website.

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