Gregory Dwight Randolph in San Antonio - Oral And Maxillofacial Surgery
Gregory Dwight Randolph - NPI 1023188299
Gregory Dwight Randolph is a Oral And Maxillofacial Surgery in San Antonio, Texas. Gregory Dwight Randolph practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Gregory Dwight Randolph is 1023188299. The last update date is 2020-12-28.
Gregory Dwight Randolph's current location address is 7300 Blanco Rd Ste 100, San Antonio, Texas. You can contact this provider via phone number 2103449898 and fax number 2103449118. The mailing address for Gregory Dwight Randolph is 7300 Blanco Rd Ste 100, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Dwight Randolph |
|---|---|
| Address | 7300 Blanco Rd Ste 100, San Antonio, Texas |
| Phone Number | 2103449898 |
| Fax Number | 2103449118 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1023188299 |
|---|---|
| Provider Enumeration Date | 2006-11-08 |
| Last Updated Date | 2020-12-28 |
Provider Mailing Address Detail
| Address | 7300 Blanco Rd Ste 100 |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782164937 |
| Phone Number | 2103449898 |
| Fax Number | 2103449118 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | D12316 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| D12316 | TX | STATE LICENSE NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Gregory Dwight Randolph by the Centers for Medicare & Medicaid Services (CMS)?
The Gregory Dwight Randolph has been assigned the NPI (National Provider Identifier) 1023188299. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Gregory Dwight Randolph located?
The Gregory Dwight Randolph is located at 7300 Blanco Rd Ste 100, San Antonio, TX 782164937.
What is Gregory Dwight Randolph's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gregory Dwight Randolph's specialized field of practice is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 1223S0112X.
When did Gregory Dwight Randolph receive its 1023188299 assignment?
The Gregory Dwight Randolph was assigned its 1023188299 on 2006-11-08, which is the date when this unique identifier was issued to the organization.
When was the Gregory Dwight Randolph's information last updated?
The Gregory Dwight Randolph's information was last updated on 2020-12-28.