DR. RANDALL JERALD PHILLIPS (NPI# 1104083997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104083997 |
| Entity Type | Individual |
| Full Name | DR. RANDALL JERALD PHILLIPS |
| Credential | D.M.D. |
| Practice Address |
516 Candler St Gainesville GA 30501-3332 |
| Practice Telephone | 7705361222 |
| Mailing Telephone | 7705361222 |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-05-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN010821 | GA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154304962 | Randall Phillips | Radiology | 2780 Middle Country Rd Ste 210, Lake Grove, NY 11755-2120 | 2005-11-25 |
| 1851662860 | Randall Austin Phillips Jr. | Social Worker | 301 Nw 63rd St, Suite 301, Oklahoma City, OK 73116-7907 | 2012-01-23 |
| 1295763183 | Randall R Phillips | Otolaryngology | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2006-06-29 |
| 1841248705 | Randall Phillips | Physical Therapist | 96 Macon Center Dr, Franklin, NC 28734-6779 | 2006-05-04 |
| 1124099395 | Randall Joseph Phillips | Radiology | 5001 Us Highway 30 W Ste D, Fort Wayne, IN 46818-9701 | 2006-01-27 |
| 1306848940 | Randall Wallace Phillips | Marriage & Family Therapist | 367b N Parkway, Jackson, TN 38305-2865 | 2005-08-12 |
| Street Address |
516 CANDLER ST |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-3332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761871 | Amanda Ghaffari | Dentist | 8992 Sw 67th Pl, Gainesville, FL 32608-9222 | 2020-08-18 |
| 1326665878 | Ryan Richard Clance | Dentist | 1395 Center Dr # D1-40, Gainesville, FL 32610-3006 | 2020-07-01 |
| 1033735386 | Adam Hadsell | Dentist | 1395 Center Dr # D-17, Gainesville, FL 32610-3006 | 2020-06-23 |
| 1174147292 | Carol Gilbert-orrego | Dentist | 1844 Nw 42nd Ave, Gainesville, FL 32605-1935 | 2020-06-04 |
| 1881227379 | Roaa Sabri Alshafei | Dentist | 1395 Center Dr Ste D2-27, Gainesville, FL 32610-3006 | 2020-02-13 |
| 1679106116 | Yasser Merdad | Dentist | 425 W University Ave Apt 4412, Gainesville, FL 32601-5207 | 2020-02-12 |
| 1093359226 | Lauren Anne Ruddocks | Dentist | University of Florida College of Dentistry, 1395 Center Drive, Gainesville, FL 32610 | 2019-10-31 |
| 1104385541 | Andreina Dulanto | Dentist | 1395 Center Dr Rm D10-33, Gainesville, FL 32610-3006 | 2019-03-15 |
| 1578027314 | Stephen H Schwartz | Dentist | 4305 Granison Chase, Gainesville, GA 30504-9286 | 2019-01-25 |
| 1366916744 | Pbt Dental LLC | Dentist | 590 S Enota Dr Ne Ste 2, Gainesville, GA 30501-2433 | 2019-01-18 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.