Randol Olen Woolbright in Scottsburg - General Practice

Randol Olen Woolbright - NPI 1053437012

Randol Olen Woolbright is a General Practice in Scottsburg, Indiana. Randol Olen Woolbright practices all healthcare services and medical treatments related to General Practice. The NPI Number for Randol Olen Woolbright is 1053437012. The last update date is 2007-07-08.

Randol Olen Woolbright's current location address is 214 E Mcclain Ave, Scottsburg, Indiana. You can contact this provider via phone number 8127527745 and fax number 8127525543. The mailing address for Randol Olen Woolbright is 214 E Mcclain Ave, Scottsburg, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Randol Olen Woolbright
Address 214 E Mcclain Ave, Scottsburg, Indiana
Phone Number 8127527745
Fax Number 8127525543
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1053437012
Provider Enumeration Date 2007-03-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 214 E Mcclain Ave
City Scottsburg
State Indiana (IN)
Post Code 471701824
Phone Number 8127527745
Fax Number 8127525543

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 12008633A
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100221370A IN --

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FAQs about Randol Olen Woolbright

What is the unique 10-digit identification code issued to Randol Olen Woolbright by the Centers for Medicare & Medicaid Services?

The Randol Olen Woolbright has been assigned the NPI (National Provider Identifier) 1053437012 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Where is the Randol Olen Woolbright located?

The Randol Olen Woolbright is located at 214 E Mcclain Ave, Scottsburg, IN 471701824.

What is Randol Olen Woolbright's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Randol Olen Woolbright is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.

On what date did the Randol Olen Woolbright receive the assignment of its 1053437012 from the Centers for Medicare & Medicaid Services?

The Randol Olen Woolbright was issued its 1053437012 by the Centers for Medicare & Medicaid Services on 2007-03-21.

When was the information related to Randol Olen Woolbright most recently updated or refreshed?

The details pertaining to the Randol Olen Woolbright, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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