Bradley Clayton Randall in Paw Paw - Dentist

Bradley Clayton Randall - NPI 1750540779

Bradley Clayton Randall is a Dentist in Paw Paw, Michigan. Bradley Clayton Randall practices all healthcare services and medical treatments related to Dentist. The NPI Number for Bradley Clayton Randall is 1750540779. The last update date is 2008-06-05.

Bradley Clayton Randall's current location address is Po Box 232, Paw Paw, Michigan. You can contact this provider via phone number 2696574001. The mailing address for Bradley Clayton Randall is Po Box 232, Paw Paw, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Bradley Clayton Randall
Address Po Box 232, Paw Paw, Michigan
Phone Number 2696574001
Fax Number
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1750540779
Provider Enumeration Date 2008-06-05
Last Updated Date 2008-06-05

Provider Mailing Address Detail

Address Po Box 232
City Paw Paw
State Michigan (MI)
Post Code 490790232
Phone Number 2696574001
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 2901019821
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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FAQs about Bradley Clayton Randall

What is the unique provider identifier assigned to Bradley Clayton Randall?

The Bradley Clayton Randall has been issued the NPI (National Provider Identifier) 1750540779 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Bradley Clayton Randall's facilities are situated?

The facilities of Bradley Clayton Randall are physically located at the following address: Po Box 232, Paw Paw, MI, 490790232.

What is Bradley Clayton Randall's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Bradley Clayton Randall's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1750540779 to Bradley Clayton Randall?

The Bradley Clayton Randall received its 1750540779 assignment from the Centers for Medicare & Medicaid Services on 2008-06-05.

As of what date were the Bradley Clayton Randall's details last updated?

The information pertaining to the Bradley Clayton Randall, including its address, specialty, and other details, was most recently updated on 2008-06-05.

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