Active NPIOrganization

Randolph Dental Group LLC

Dentist in Randolph, Massachusetts

NPI Number1972067072
Practice location
1 Frank Leary Way Unit 4, Randolph, MA 02368-4503
Fax
—
Last updated
January 23, 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 1972067072. The current practice location address for Randolph Dental Group LLC is 1 Frank Leary Way Unit 4, Randolph, MA 02368-4503 and can be reached out via phone at 781-963-7204.

Provider Profile Details

NPI Number
1972067072
Provider Name
Randolph Dental Group LLC
Provider Entity Type
Organization
Address
1 Frank Leary Way Unit 4, Randolph, MA 02368-4503
Phone Number
781-963-7204
Primary Taxonomy
Dentist · 122300000X
Organization Subpart
Yes
Parent Organization
Randolph Dental Group LLC
Authorized Official
Jane Chaney · Senior Accountant · 781-562-0469
Provider Enumeration Date
January 23, 2019
Last Update Date
January 23, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Frank Leary Way Unit 4
Randolph, MA 02368-4503
Zip
02368-4503
Phone Number
781-963-7204
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

License Information

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 Randolph Dental Group LLC?

The NPI number of Randolph Dental Group LLC is 1972067072. It was assigned on January 23, 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 (code 122300000X).

Where does Randolph Dental Group LLC practice?

The practice location is 1 Frank Leary Way Unit 4, Randolph, MA 02368-4503. The office can be reached at 781-963-7204 (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 1972067072 directly on the NPPES registry website.

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