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Carrie Md Randolph, DDS
General Practice Dentistry in Kodiak, Alaska
NPI 1740594779

Carrie Md Randolph is a General Practice Dentistry based in Kodiak, AK and is specialized in General Practice. Carrie Md Randolph practices in Kodiak, AK and has the professional credentials of DDS. The NPI Number for Carrie Md Randolph is 1740594779 and holds a License No. 1346 (Alaska).

The current practice location address for Carrie Md Randolph is 506 W Marine Way, Kodiak, AK and can be reached out via phone at 907-486-3269.

Location: 506 W Marine Way, Kodiak, AK, 99615-7311
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740594779
Provider Name
Carrie Md Randolph
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
506 W Marine Way, Kodiak, AK, 99615-7311
Phone Number
907-486-3269
Fax Number
Provider Enumeration Date
08/02/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1346 01 AK AK OCCUPATIONAL LICENSE
institution
Provider Business Practice Location Address Details
Address
506 W Marine Way
City
Kodiak
State
Alaska
Zip
99615-7311
Phone Number
907-486-3269
Fax Number
person
Provider Business Mailing Address Details
Address
506 W Marine Way
City
Kodiak
State
Alaska
Zip
99615-7311
Phone Number
907-486-3269
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
1346 (Alaska)
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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