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Dr. Gregory Marshall Randolph, D,DS
General Practice Dentistry in Bloomington, Illinois
NPI 1801937222

Gregory Marshall Randolph is a General Practice Dentistry based in Bloomington, IL and is specialized in General Practice. Gregory Marshall Randolph practices in Bloomington, IL and has the professional credentials of D,DS. The NPI Number for Gregory Marshall Randolph is 1801937222 and holds a License No. (Illinois).

The current practice location address for Gregory Marshall Randolph is 119 N Williamsburg Dr, Bloomington, IL and can be reached out via phone at 309-663-1326 and via fax at 309-662-3551.

Location: 119 N Williamsburg Dr, Bloomington, IL, 61704-3528
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801937222
Provider Name
Gregory Marshall Randolph
Credential
D,DS
Provider Entity Type
Individual
Gender
Male
Address
119 N Williamsburg Dr, Bloomington, IL, 61704-3528
Phone Number
309-663-1326
Fax Number
309-662-3551
Provider Enumeration Date
02/09/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
119 N Williamsburg Dr
City
Bloomington
State
Illinois
Zip
61704-3528
Phone Number
309-663-1326
Fax Number
309-662-3551
person
Provider Business Mailing Address Details
Address
119 N Williamsburg Dr
City
Bloomington
State
Illinois
Zip
61704-3528
Phone Number
309-663-1326
Fax Number
309-662-3551
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
(Illinois)
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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