Clifford Sherwood Randall in Palos Heights - Dentist
Clifford Sherwood Randall - NPI 1295811461
Clifford Sherwood Randall is a Dentist in Palos Heights, Illinois. Clifford Sherwood Randall practices all healthcare services and medical treatments related to Dentist. The NPI Number for Clifford Sherwood Randall is 1295811461. The last update date is 2007-07-08.
Clifford Sherwood Randall's current location address is 12219 Harlem Ave, Palos Heights, Illinois. You can contact this provider via phone number 7084481622. The mailing address for Clifford Sherwood Randall is 12219 Harlem Ave, Palos Heights, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clifford Sherwood Randall |
|---|---|
| Address | 12219 Harlem Ave, Palos Heights, Illinois |
| Phone Number | 7084481622 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1295811461 |
|---|---|
| Provider Enumeration Date | 2006-10-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 12219 Harlem Ave |
|---|---|
| City | Palos Heights |
| State | Illinois (IL) |
| Post Code | 60463 |
| Phone Number | 7084481622 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | IL9444A |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique identification code assigned to Clifford Sherwood Randall by the Centers for Medicare & Medicaid Services?
The Clifford Sherwood Randall has been issued the NPI (National Provider Identifier) 1295811461. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Clifford Sherwood Randall is located?
The Clifford Sherwood Randall is situated at the following address: 12219 Harlem Ave, Palos Heights, IL, 60463.
What is the area of specialization for Clifford Sherwood Randall, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Clifford Sherwood Randall is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
When did Clifford Sherwood Randall receive its 1295811461 assignment?
The Clifford Sherwood Randall was assigned its 1295811461 on 2006-10-31, which is the date when this unique identifier was issued to the organization.
When was the information regarding Clifford Sherwood Randall, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Clifford Sherwood Randall, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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