DR. ROBERT S RANDALL (NPI# 1396968301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396968301 |
Entity Type | Individual |
Full Name | DR. ROBERT S RANDALL |
Credential | DMD |
Practice Address |
209 W 5th North St Summerville SC 29483-6511 |
Mailing Address |
119 Briarwood Ln Summerville SC 29483-3707 |
Practice Telephone | 8438733706 |
Practice Fax Number | 8738716010 |
Enumeration Date | 2007-04-10 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
1822 | SC | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891977476 | Robert Randall | Pharmacist | 76-78 Main St, Hudson Falls, NY 12839 | 2007-12-05 |
1073566717 | Robert Lawrence Randall | Orthopaedic Surgery | 4860 Y St Ste 1700, Sacramento, CA 95817 | 2006-05-17 |
1467447581 | Robert L Randall | Psychologist | 125 W Church St, Elmhurst, IL 60126-3326 | 2005-09-14 |
1467457424 | Robert D Randall Jr. | Surgery | 1665 Herlong Ct, Suite A, Rock Hill, SC 29732-1193 | 2005-06-16 |
1699375063 | Robert Joseph Randall | Pharmacist | 5505 W Owen K Garriott Rd, Enid, OK 73703-6075 | 2020-10-27 |
1386169795 | Robert Scott Randall | Physical Therapist | 801 Toll House Ave Ste H3, Frederick, MD 21701-6117 | 2017-08-07 |
1306897707 | Robert A Randall | Family Medicine | 405 W Pearl St, Clinic, Atkinson, NE 68713-4882 | 2006-05-12 |
Street Address |
209 W 5TH NORTH ST |
City | SUMMERVILLE |
State | SC |
Zip Code | 29483-6511 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154869204 | Deaton Dental LLC | Dentist | 209 W 5th North St, Summerville, SC 29483-6511 | 2017-02-09 |
1306252887 | Steven Rhett Deaton | Dentist | 209 W 5th North St, Summerville, SC 29483-6511 | 2014-07-07 |
1184039034 | Tiffany Deaton | Dentist | 209 W 5th North St, Summerville, SC 29483-6511 | 2014-06-29 |
1932362498 | Peter T Sciarrino | Dentist | 209 W 5th North St, Summerville, SC 29483-6511 | 2008-07-05 |
1831314756 | Misti S Raman | Dentist | 209 W 5th North St, Summerville, SC 29483-6511 | 2007-04-16 |
1063635753 | Dental Associates of Summerville, LLC | Dentist | 209 W 5th North St, Summerville, SC 29483-6511 | 2007-04-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437764347 | Catherine M Bixler | Counselor | 314 W 4th St N, Summerville, SC 29483 | 2020-09-09 |
1255979431 | Jeanette Louise Virden | Counselor | 200 E 5th North Street, Summerville, SC 29483 | 2019-12-18 |
1912477415 | Kaylee Lobo | Nurse Practitioner | 203 Pavilion Street, Summerville, SC 29483 | 2018-11-28 |
1962981142 | Jackson Pediatric Dentistry of Summerville | Dentist | 405 West 4th Street North, Summerville, SC 29483 | 2018-08-09 |
1558885483 | Allied Medical Respiratory | Durable Medical Equipment & Medical Supplies | 200 W 5th North Street, Summerville, SC 29483 | 2017-08-02 |
1336671296 | Natalie M Clark | Specialist/Technologist | 102 Green Wave Boulevard, Dorchester School District Two, Summerville, SC 29483 | 2017-03-30 |
1649701897 | Usv Optical Inc. | Technician/Technologist | 1035 Jockey Ct., Summerville, SC 29483 | 2017-03-21 |
1497113617 | Roper Saint Francis Physicians Network | Surgery | 1112 N Main St Ste C, Summerville, SC 29483 | 2016-02-02 |
1083000798 | Andrea Sartori | Clinical Neuropsychologist | 107 W 5th North St Ste 102, Summerville, SC 29483 | 2015-04-09 |
1376931626 | Wendy Davis-jones | Home Health Aide | 203 Lakepointe Ave, Summerville, SC 29483 | 2015-01-08 |
Find all providers in zip 29483 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366086621 | Tgd-summerville LLC | Dentist | 604-a Nexton Square Dr, Summerville, SC 29486 | 2019-10-30 |
1336783604 | Tdsp-summerville LLC | Dentist | 604-b Nexton Square Dr, Summerville, SC 29486 | 2019-10-30 |
1720552524 | Sfd Knightsville LLC | Dentist | 487 W Butternut Rd, Summerville, SC 29483-5568 | 2019-01-15 |
1144762576 | Sfd Carnes LLC | Dentist | 110 Parish Farms Dr, Summerville, SC 29486-0409 | 2016-11-16 |
1619320116 | James Reed Williamson | Dentist | 502 N Pine St, Summerville, SC 29483-6555 | 2016-07-20 |
1487036794 | Seastone Dental | Dentist | 953 Orangeburg Rd, Ste B, Summerville, SC 29483-8941 | 2015-06-23 |
1235523887 | Melissa Owen | Dentist | 604a Nexton Square Dr, Summerville, SC 29486-7914 | 2015-03-21 |
1932406147 | Hubert Eric Heiden | Dentist | 2039 North Main Street, Summerville, SC 29483 | 2011-02-24 |
1780898353 | John M Corella | Dentist | 100 Harth Place, Summerville, SC 29485 | 2007-05-10 |
1902028269 | William Thomas Miller | Dentist | 502 North Pine Street, Summerville, SC 29483 | 2007-05-03 |
Find all providers in SUMMERVILLE |
City | SUMMERVILLE |
Zip Code | 29483 |
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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.