Active NPIOrganization

Randolph Dental Group LLC

Dentist, General Practice in Randolph, Massachusetts

NPI Number1801440656
Practice location
96 N Main St, Randolph, MA 02368-4606
Fax
781-963-6906
Last updated
July 30, 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 1801440656. The current practice location address for Randolph Dental Group LLC is 96 N Main St, Randolph, MA 02368-4606 and can be reached out via phone at 781-963-3800 and via fax at 781-963-6906.

Provider Profile Details

NPI Number
1801440656
Provider Name
Randolph Dental Group LLC
Provider Entity Type
Organization
Address
96 N Main St, Randolph, MA 02368-4606
Phone Number
781-963-3800
Fax Number
781-963-6906
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Vicki J Kenney · Credentialing Specialist · 781-562-0457
Provider Enumeration Date
July 30, 2019
Last Update Date
July 30, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
96 N Main St
Randolph, MA 02368-4606
Zip
02368-4606
Phone Number
781-963-3800
Fax Number
781-963-6906
Randolph, MA 02368Get directions →

Provider Business Mailing Address Details

Address
500 Chapman St Unit 201
Canton, MA 02021-2040
City
Canton
State
MA
Zip
02021-2040
Phone Number
781-562-0457

License Information

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 Randolph Dental Group LLC?

The NPI number of Randolph Dental Group LLC is 1801440656. It was assigned on July 30, 2019 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, General Practice (code 1223G0001X).

Where does Randolph Dental Group LLC practice?

The practice location is 96 N Main St, Randolph, MA 02368-4606. 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 1801440656 directly on the NPPES registry website.

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