Randall L Ford in Maryville - Dentist

Randall L Ford - NPI 1427224963

Randall L Ford is a Dentist in Maryville, Tennessee. Randall L Ford practices all healthcare services and medical treatments related to Dentist. The NPI Number for Randall L Ford is 1427224963. The last update date is 2016-10-05.

Randall L Ford's current location address is 1740 Big Springs Rd, Maryville, Tennessee. You can contact this provider via phone number 8656817645 and fax number 8656813488. The mailing address for Randall L Ford is 1740 Big Springs Rd, Maryville, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Randall L Ford
Address 1740 Big Springs Rd, Maryville, Tennessee
Phone Number 8656817645
Fax Number 8656813488
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1427224963
Provider Enumeration Date 2008-05-05
Last Updated Date 2016-10-05

Provider Mailing Address Detail

Address 1740 Big Springs Rd
City Maryville
State Tennessee (TN)
Post Code 378018206
Phone Number 8656817645
Fax Number 8656813488

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No DS5205
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
DS5205 TN 1649345406

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FAQs about Randall L Ford

What is the unique provider identifier assigned to Randall L Ford?

The Randall L Ford has been issued the NPI (National Provider Identifier) 1427224963 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Randall L Ford?

The Randall L Ford is physically situated at 1740 Big Springs Rd, in the city of Maryville, state of TN, with the postal code 378018206.

What is the area of specialization for Randall L Ford, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Randall L Ford is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.

On what date did the Randall L Ford receive its 1427224963 assignment from the Centers for Medicare & Medicaid Services?

The Randall L Ford was assigned its 1427224963 by the Centers for Medicare & Medicaid Services on 2008-05-05.

When was the information regarding Randall L Ford, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Randall L Ford, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-10-05.

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