Randall O Duck Dds Pa in Winston Salem - Dental
Randall O Duck Dds Pa - NPI 1902084163
Randall O Duck Dds Pa is a Dental in Winston Salem, North Carolina. Randall O Duck Dds Pa practices all healthcare services and medical treatments related to Dental. The NPI Number for Randall O Duck Dds Pa is 1902084163. The last update date is 2008-02-09.
Randall O Duck Dds Pa's current location address is 3744 Vest Mill Rd, Winston Salem, North Carolina. You can contact this provider via phone number 3367602501 and fax number 3367602192. The mailing address for Randall O Duck Dds Pa is 3744 Vest Mill Rd, Winston Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Randall O Duck Dds Pa |
|---|---|
| Address | 3744 Vest Mill Rd, Winston Salem, North Carolina |
| Phone Number | 3367602501 |
| Fax Number | 3367602192 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Duck Owen Randall |
| Credentials | DDS |
| Telephone Number | 3367602500 |
NPI Number Detail
| NPI Number | 1902084163 |
|---|---|
| Provider Enumeration Date | 2008-02-09 |
| Last Updated Date | 2008-02-09 |
Provider Mailing Address Detail
| Address | 3744 Vest Mill Rd |
|---|---|
| City | Winston Salem |
| State | North Carolina (NC) |
| Post Code | 271032912 |
| Phone Number | 3367602501 |
| Fax Number | 3367602192 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | 4630 |
|
Definition: Provides general and specialized dental care and oral surgery. |
|
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What is the unique 10-digit identifier code issued to Randall O Duck Dds Pa by the Centers for Medicare & Medicaid Services?
The Randall O Duck Dds Pa has been assigned the NPI (National Provider Identifier) 1902084163 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Randall O Duck Dds Pa's facilities are situated?
The facilities of Randall O Duck Dds Pa are physically located at the following address: 3744 Vest Mill Rd, Winston Salem, NC, 271032912.
What is Randall O Duck Dds Pa's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Randall O Duck Dds Pa is Dental, and the taxonomy code that categorizes this field of expertise is 261Qd0000X.
When did Randall O Duck Dds Pa receive its 1902084163 assignment?
The Randall O Duck Dds Pa was assigned its 1902084163 on 2008-02-09, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Randall O Duck Dds Pa, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Randall O Duck Dds Pa, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-02-09.
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