GREGORY T RANDALL DDS PC (NPI# 1295896942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295896942 |
| Entity Type | Organization |
| Organization Name | GREGORY T RANDALL DDS PC |
| Other Organization Name | HASTINGS FAMILY DENTAL CARE |
| Practice Address |
212 W State Road Hastings MI 49058 |
| Mailing Address |
212 W State Road Ste A Hastings MI 49058 |
| Practice Telephone | 2699486684 |
| Practice Fax Number | 2699484644 |
| Mailing Telephone | 2699486684 |
| Mailing Fax Number | 2699484644 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. GREGORY THOMAS RANDALL (PRESIDENT) |
| Authorized Official Telephone | 2699486684 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
017159 | MI | Dental Providers |
| Other Name | Type Code |
|---|---|
| Hastings Family Dental Care | Doing Business As Name - Organization |
| Street Address |
212 W STATE ROAD |
| City | HASTINGS |
| State | MI |
| Zip Code | 49058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598826265 | Gregory Thomas Randall | Dentist | 212 W State Road, Ste A, Hastings, MI 49058 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760941942 | Valerie Joy Gardiner | Licensed Practical Nurse | 1359 Avon St, Hastings, MI 49058 | 2019-03-18 |
| 1538528633 | Forefront Dermatology, S.c. | Dermatology | 1761 W M 43 Hwy Ste 2, Hastings, MI 49058 | 2016-02-17 |
| 1376936807 | Angels On The Go | Home Health | 959 1/2 Williams Dr., Hastings, MI 49058 | 2015-03-09 |
| 1134524226 | Forefront Dermatology, S.c. | Dermatology | 1005 W. Green Street, Suite 200, Hastings, MI 49058 | 2014-10-31 |
| 1417385493 | James Edgar Atkinson | Family Medicine | 2425 Kathryn Drive, Hastings, MI 49058 | 2013-10-29 |
| 1689006918 | Bosley Pharmacy No. 2 Inc | Pharmacy | 118 S. Jefferson St., Hastings, MI 49058 | 2013-08-09 |
| 1740539345 | Kristen Burpee | Physical Therapist | 535 W. Woodlawn, Hastings, MI 49058 | 2012-08-29 |
| 1932344819 | Timothy York Adams | Counselor | 1100 Willitts Rd, Hastings, MI 49058 | 2008-12-08 |
| 1689820169 | Jennifer L Nobert | Physician Assistant | 1005 W Green St Ste 202, Hastings Internal Medicine, Hastings, MI 49058 | 2008-08-15 |
| 1457578072 | Sue Ellen Eastman | Social Worker | 350 Meadow Run Drive, #3, Hastings, MI 49058 | 2007-04-18 |
| Find all providers in zip 49058 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598826265 | Gregory Thomas Randall | Dentist | 212 W State Road, Ste A, Hastings, MI 49058 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647514 | Drs Mesh, P.C. | Dentist | 15555 Silver Parkway, Fenton, MI 48430 | 2020-07-23 |
| 1285252874 | Plymouth Endodontics | Dentist | 9416 S Main St Ste 212, Plymouth, MI 48170-4148 | 2020-07-09 |
| 1578192712 | Rabban-acho Dental Pllc | Dentist | 38550 Garfield Rd Ste C, Clinton Township, MI 48038-3406 | 2020-04-08 |
| 1700411378 | Macomb Endodontics | Dentist | 51817 Gratiot Ave, Chesterfield, MI 48051-2014 | 2020-03-04 |
| 1861950701 | Garfield Road Dental- 2 | Dentist | 15401 Dix Toledo Rd, Southgate, MI 48195-2662 | 2019-03-11 |
| 1336654102 | Elite Endodontics | Dentist | 1135 S Lapeer Rd Ste A, Lake Orion, MI 48360-1432 | 2017-12-02 |
| 1255719456 | Norton Shores Dental PC | Dentist | 837 Seminole Rd Ste 100, Norton Shores, MI 49441-6734 | 2015-05-08 |
| 1396186292 | Ryan Brooks Mcmahan | Dentist | 400 W Main St Ste 106, Gaylord, MI 49735-1870 | 2013-07-09 |
| 1124461579 | Sarmad Mazin Alyas | Dentist | 37641 Pembroke Ave, Livonia, MI 48152-1050 | 2013-04-16 |
| 1568704468 | Arnold Harry Gartner | Dentist | 1547 W Long Lake Rd, Bloomfield Hills, MI 48302-1342 | 2013-03-19 |
| Find all providers with the same taxonomy | ||||
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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.