Randolph Kelly Faulk in Sanford - Dentist
Randolph Kelly Faulk - NPI 1407807605
Randolph Kelly Faulk is a Dentist in Sanford, North Carolina. Randolph Kelly Faulk practices all healthcare services and medical treatments related to Dentist. The NPI Number for Randolph Kelly Faulk is 1407807605. The last update date is 2007-07-08.
Randolph Kelly Faulk's current location address is 1806 Doctors Dr, Sanford, North Carolina. You can contact this provider via phone number 9197749419 and fax number 9197741404. The mailing address for Randolph Kelly Faulk is 1806 Doctors Dr, Sanford, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randolph Kelly Faulk |
|---|---|
| Address | 1806 Doctors Dr, Sanford, North Carolina |
| Phone Number | 9197749419 |
| Fax Number | 9197741404 |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1407807605 |
|---|---|
| Provider Enumeration Date | 2006-05-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1806 Doctors Dr |
|---|---|
| City | Sanford |
| State | North Carolina (NC) |
| Post Code | 27330 |
| Phone Number | 9197749419 |
| Fax Number | 9197741404 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 6030 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8992816 | NC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Randolph Kelly Faulk by the Centers for Medicare & Medicaid Services (CMS)?
The Randolph Kelly Faulk has been assigned the NPI (National Provider Identifier) 1407807605. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Randolph Kelly Faulk is physically located?
The Randolph Kelly Faulk is physically situated at the following address: 1806 Doctors Dr, Sanford, NC, 27330.
What is Randolph Kelly Faulk's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Randolph Kelly Faulk is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1407807605 to Randolph Kelly Faulk?
The Randolph Kelly Faulk received its 1407807605 assignment from the Centers for Medicare & Medicaid Services on 2006-05-12.
As of what date were the details related to Randolph Kelly Faulk most recently updated or revised?
The information pertaining to Randolph Kelly Faulk, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.