DR. RYAN ROBERT RANDOL (NPI# 1235445883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235445883 |
| Entity Type | Individual |
| Full Name | DR. RYAN ROBERT RANDOL |
| Credential | DDS |
| Practice Address |
Landstuhl Dental Activity Credentials Office Cmr 402 Apo AE 09180 |
| Practice Telephone | 011496371929130 |
| Practice Fax Number | 011496371929117 |
| Mailing Telephone | 011496371929130 |
| Mailing Fax Number | 011496371929117 |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2010-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D9481 | OR | Dental Providers |
| Street Address |
LANDSTUHL DENTAL ACTIVITY CREDENTIALS OFFICE CMR 402 |
| City | APO |
| State | AE |
| Zip Code | 09180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508841826 | Preston Quinn Welch | Dentist | Landstuhl Dental Activity Credentials Office, Cmr 402, Apo, AE 09180 | 2005-12-09 |
| 1033435169 | Margaret Ann Mannila | Dental Hygienist | Landstuhl Dental Activity Credentials Office, Cmr 402, Apo, AE 09180 | 2010-04-14 |
| 1124341698 | Jenalie Rose Price | Dental Hygienist | Landstuhl Dental Activity Credentials Office, Cmr 402, Apo, AE 09180 | 2010-03-11 |
| 1891926903 | Julie Loan Dinh | Dental Hygienist | Landstuhl Dental Activity Credentials Office, Cmr 402, Apo, AE 09180 | 2009-08-06 |
| 1679702732 | Tonya Marie Hensley | Dental Hygienist | Landstuhl Dental Activity Credentials Office, Cmr 402, Apo, AE 09180 | 2009-07-10 |
| 1699919563 | Denise Mary Walko | Dental Hygienist | Landstuhl Dental Activity Credentials Office, Cmr 402, Apo, AE 09180 | 2009-04-23 |
| 1508000472 | Kimberly Ann Mataisz | Dental Hygienist | Landstuhl Dental Activity Credentials Office, Cmr 402, Apo, AE 09180 | 2009-04-23 |
| 1144464017 | Katheryn Nall Fontenot | Dental Hygienist | Landstuhl Dental Activity Credentials Office, Cmr 402, Apo, AE 09180 | 2009-04-23 |
| 1386882694 | Shana L Waskoviak | Dental Hygienist | Landstuhl Dental Activity Credentials Office, Cmr 402, Apo, AE 09180 | 2009-01-23 |
| 1134367543 | Luzmarina Ulichney | Dental Hygienist | Landstuhl Dental Activity Credentials Office, Cmr 402, Apo, AE 09180 | 2009-01-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174166656 | Samuel Mow | Military Health Care Provider | Landshul Regional Medical Center, Apo, AE 09180 | 2019-10-28 |
| 1265093017 | Corby M Dixon | Dentist | Landstul Dental Health Activity, Bldg 3703, Rm 205, Apo, AE 09180 | 2019-06-24 |
| 1619440922 | Joo Park | Dentist | Cmr 402 Unit 33301, Apo, AE 09180 | 2019-01-09 |
| 1518374743 | Nathan Persell | Dentist | Landstuhl Dental Activity Hq, Marceau Kaserne Bldg 3703, Rm 205, Landstuhl, KIRCHBERG 09180 | 2014-07-21 |
| 1558617985 | Schuyler Brent Sessions | Dentist | Bldg 3703 Rm 205, Apo, AE 09180 | 2012-08-03 |
| 1649555418 | Jacob Naylor | Physical Therapist | Cmr 402, Box 1700, Apo, AE 09180 | 2011-10-12 |
| 1174832505 | Amy Lunell Spotanski | Advanced Practice Midwife | 3763 Dr Hitzelberger Strase, Apo, AE 09180 | 2010-10-04 |
| 1629383112 | Benjamin P. Spang | Social Worker | Cmr 402, Box 1096, Apo, AE 09180 | 2010-08-09 |
| 1457681595 | Emily Ann Schulze Koeneke | Pharmacist | Cmr 402 Landstuhl Regional Medical Center, Apo, AE 09180 | 2010-01-13 |
| 1992030241 | Troy Kirk Lundell | Dentist | Usa Dentac Landstuhl, Cmr 402 Bldg 3703, Apo, AE 09180 | 2009-10-05 |
| Find all providers in zip 09180 | ||||
| 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 |
|---|---|---|---|---|
| 1174134662 | Lucas Pepper | Dentist | Desert Storm Ave, Bldg 5580, Apo, AA 42223 | 2020-08-10 |
| 1831708411 | Troy Nathan Thayer | Dentist | 1065 W Perimeter Rd J, Joint Base Andrews Air Force Base, Apo, AE 20732 | 2020-07-29 |
| 1891311379 | Jonathan Frederick Weaver | Dentist | Headquarters United States Army Dental Health Activity, 4323 Hill Street, Apo, AA 29207-6022 | 2020-06-22 |
| 1457975583 | Connor English | Dentist | Carius Dental Clinic Bldg#p3020, Apo, AP 96205-5244 | 2020-06-04 |
| 1275162877 | Gabi Im | Dentist | 1065 W Perimeter Rd., Joint Base Andrews, Apo, AA 20762 | 2020-04-06 |
| 1730735770 | Kai Steven Hatch | Dentist | 72nd and Support Building 33026, 1st Medical Brigade, Apo, AA 76544 | 2019-08-15 |
| 1265093017 | Corby M Dixon | Dentist | Landstul Dental Health Activity, Bldg 3703, Rm 205, Apo, AE 09180 | 2019-06-24 |
| 1851950026 | Erin Leigh Baldridge | Dentist | Joint Base Langley Eustis Dental Clinic, 76 Nealy Ave, Apo, AA 23665 | 2019-06-11 |
| 1972082451 | Mark Rutledge Mcshane | Dentist | 618th Dental Company (as), Usa Dentac-korea Unit #15660 Bldg # P 3020, Apo, AP 96271-5660 | 2018-08-07 |
| 1780163220 | Gina Wooyoung Paik | Dentist | Hq, 618th Dcas/dentac, Korea, Unit 15652, Apo, AP 96271 | 2018-08-07 |
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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.