Randall Duck in Winston Salem - General Practice
Randall Duck - NPI 1396871240
Randall Duck is a General Practice in Winston Salem, North Carolina. Randall Duck practices all healthcare services and medical treatments related to General Practice. The NPI Number for Randall Duck is 1396871240. The last update date is 2007-07-08.
Randall Duck's current location address is 3744 Vest Mill Rd, Winston Salem, North Carolina. You can contact this provider via phone number 3367602500. The mailing address for Randall Duck is 3744 Vest Mill Rd, Winston Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall Duck |
|---|---|
| Address | 3744 Vest Mill Rd, Winston Salem, North Carolina |
| Phone Number | 3367602500 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1396871240 |
|---|---|
| Provider Enumeration Date | 2007-02-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3744 Vest Mill Rd |
|---|---|
| City | Winston Salem |
| State | North Carolina (NC) |
| Post Code | 271032912 |
| Phone Number | 3367602500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 4630 |
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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 |
|---|---|---|---|
| 163727 | TN | CIGNA DMO | |
| 63611 | PA | UNITED CONCORDIA | |
| 4630 | NC | DENTAL LICENSE | |
| 92211 | NC | BC OF NC | |
| 163727 | NC | CIGNA DMO |
Post Comment/ Review Below
What is the unique provider identifier assigned to Randall Duck?
The Randall Duck has been issued the NPI (National Provider Identifier) 1396871240 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Randall Duck's facilities are geographically located?
The facilities of Randall Duck are physically situated at the following location: 3744 Vest Mill Rd, Winston Salem, NC, 271032912.
What is the Randall Duck's area of specialization and corresponding taxonomy classification?
The Randall Duck's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date was the 1396871240 assigned to Randall Duck?
The Randall Duck was issued its 1396871240 on 2007-02-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Randall Duck's information last updated?
The Randall Duck's information was last updated on 2007-07-08.
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