Randall Paris Prince in Dyersburg - General Practice
Randall Paris Prince - NPI 1154464519
Randall Paris Prince is a General Practice in Dyersburg, Tennessee. Randall Paris Prince practices all healthcare services and medical treatments related to General Practice. The NPI Number for Randall Paris Prince is 1154464519. The last update date is 2017-03-28.
Randall Paris Prince's current location address is 427 Troy Ave, Dyersburg, Tennessee. You can contact this provider via phone number 7312861583 and fax number 7312879881. The mailing address for Randall Paris Prince is 427 Troy Ave, Dyersburg, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall Paris Prince |
|---|---|
| Address | 427 Troy Ave, Dyersburg, Tennessee |
| Phone Number | 7312861583 |
| Fax Number | 7312879881 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1154464519 |
|---|---|
| Provider Enumeration Date | 2007-02-15 |
| Last Updated Date | 2017-03-28 |
Provider Mailing Address Detail
| Address | 427 Troy Ave |
|---|---|
| City | Dyersburg |
| State | Tennessee (TN) |
| Post Code | 380243947 |
| Phone Number | 7312861583 |
| Fax Number | 7312879881 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DS3389 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 41537 | TN | BCBS OF TENNESSEE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Randall Paris Prince?
The Randall Paris Prince has been issued the NPI (National Provider Identifier) 1154464519 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Randall Paris Prince located?
The Randall Paris Prince is located at 427 Troy Ave, Dyersburg, TN 380243947.
What is Randall Paris Prince's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Randall Paris Prince is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date did Randall Paris Prince receive its 1154464519 assignment from the Centers for Medicare & Medicaid Services?
The Randall Paris Prince was assigned its 1154464519 on 2007-02-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Randall Paris Prince, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Randall Paris Prince, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-03-28.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN