Randolph William Sturrup in Tyler - Orthodontics And Dentofacial Orthopedics
Randolph William Sturrup - NPI 1740358936
Randolph William Sturrup is a Orthodontics And Dentofacial Orthopedics in Tyler, Texas. Randolph William Sturrup practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Randolph William Sturrup is 1740358936. The last update date is 2008-08-13.
Randolph William Sturrup's current location address is 212 Grande Blvd, Tyler, Texas. You can contact this provider via phone number 9035094422 and fax number 9035094420. The mailing address for Randolph William Sturrup is 212 Grande Blvd, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randolph William Sturrup |
|---|---|
| Address | 212 Grande Blvd, Tyler, Texas |
| Phone Number | 9035094422 |
| Fax Number | 9035094420 |
| Sole Proprietor | N |
| Credentials | DDS MS |
NPI Number Detail
| NPI Number | 1740358936 |
|---|---|
| Provider Enumeration Date | 2006-12-04 |
| Last Updated Date | 2008-08-13 |
Provider Mailing Address Detail
| Address | 212 Grande Blvd |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 75703 |
| Phone Number | 9035094422 |
| Fax Number | 9035094420 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 8352 |
|
Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Randolph William Sturrup by the Centers for Medicare & Medicaid Services?
The Randolph William Sturrup has been issued the NPI (National Provider Identifier) 1740358936 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Randolph William Sturrup is physically located?
The Randolph William Sturrup is physically situated at the following address: 212 Grande Blvd, Tyler, TX, 75703.
What is the Randolph William Sturrup's specialty and taxonomy code?
The Randolph William Sturrup's specialty is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code is 1223X0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1740358936 to Randolph William Sturrup?
The Randolph William Sturrup received its 1740358936 assignment from the Centers for Medicare & Medicaid Services on 2006-12-04.
As of what date was the information regarding Randolph William Sturrup, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Randolph William Sturrup, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-08-13.