Randall Shawn Kelly in Roseville - General Practice
Randall Shawn Kelly - NPI 1376632430
Randall Shawn Kelly is a General Practice in Roseville, California. Randall Shawn Kelly practices all healthcare services and medical treatments related to General Practice. The NPI Number for Randall Shawn Kelly is 1376632430. The last update date is 2017-04-04.
Randall Shawn Kelly's current location address is 700 Sunrise Ave, Roseville, California. You can contact this provider via phone number 9167731122 and fax number 9167733528. The mailing address for Randall Shawn Kelly is 700 Sunrise Ave, Roseville, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall Shawn Kelly |
|---|---|
| Address | 700 Sunrise Ave, Roseville, California |
| Phone Number | 9167731122 |
| Fax Number | 9167733528 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1376632430 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2017-04-04 |
Provider Mailing Address Detail
| Address | 700 Sunrise Ave |
|---|---|
| City | Roseville |
| State | California (CA) |
| Post Code | 956614561 |
| Phone Number | 9167731122 |
| Fax Number | 9167733528 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 29984 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique identification code assigned to Randall Shawn Kelly by the Centers for Medicare & Medicaid Services?
The Randall Shawn Kelly has been issued the NPI (National Provider Identifier) 1376632430. 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 address where Randall Shawn Kelly is physically located?
The Randall Shawn Kelly is situated at the following address: 700 Sunrise Ave, Roseville, CA 956614561.
What is Randall Shawn Kelly's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Randall Shawn Kelly is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1376632430 to Randall Shawn Kelly?
The Centers for Medicare & Medicaid Services assigned the 1376632430 to Randall Shawn Kelly on 2006-10-12.
When was the Randall Shawn Kelly's information last updated?
The Randall Shawn Kelly's information was last updated on 2017-04-04.
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