RANDOLPH DENTAL GROUP LLC (NPI# 1972067072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972067072 |
| Entity Type | Organization |
| Organization Name | RANDOLPH DENTAL GROUP LLC |
| Practice Address |
1 Frank Leary Way Unit 4 Randolph MA 02368-4503 |
| Mailing Address |
500 Chapman St Unit 201 Canton MA 02021-2040 |
| Practice Telephone | 7819637204 |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2019-01-23 |
| Authorized Official Name | JANE CHANEY (SENIOR ACCOUNTANT) |
| Authorized Official Telephone | 7815620469 |
| Is Organization Subpart | Y |
| Parent Organization Name | RANDOLPH DENTAL GROUP LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801440656 | Randolph Dental Group LLC | Dentist | 96 N Main St, Randolph, MA 02368-4606 | 2019-07-30 |
| 1356698443 | Randolph Dental Group LLC | Dentist | 15 Warren St, Randolph, MA 02368-4015 | 2012-08-08 |
| Street Address |
1 FRANK LEARY WAY UNIT 4 |
| City | RANDOLPH |
| State | MA |
| Zip Code | 02368-4503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962016444 | Kadiatou Djindji Bah | Behavior Technician | 75 N Main St Suite 628, Randolph, MA 02368 | 2020-09-02 |
| 1194334490 | Madison Murphy | Behavior Technician | 75 North Main Street, Ma, Suite #628, Randolph, MA 02368 | 2020-07-23 |
| 1255995049 | Daniel Joseph Bellistri | Social Worker | Daniel Bellistri, 70 Memorial Pkwy., Randolph, MA 02368 | 2019-04-26 |
| 1992291124 | Ashley Lauren Davis | Licensed Practical Nurse | 11 Mcdonnell Drive, Randolph, MA 02368 | 2018-07-11 |
| 1023503943 | Jean Rony Mesalon | Licensed Practical Nurse | 8 Reynolds Ave, Randolph, MA 02368 | 2018-06-22 |
| 1154829208 | Tatianna Lovette Hendren | Behavioral Analyst | 28 Liberty Place, Apartment C, Randolph, MA 02368 | 2018-01-24 |
| 1841709698 | Gerica Barbosa | Counselor | 37 Sarah St, Randolph, MA 02368 | 2017-09-25 |
| 1437508629 | Julie A Panchamsingh-barakat | Social Worker | 400-, 402 N Main St, Randolph, MA 02368 | 2016-06-08 |
| 1497109789 | Grace Dorcas Pokuah | Counselor | 24 Nelson Dr, #1a, Randolph, MA 02368 | 2016-04-22 |
| 1194185868 | Heavenly Home Care | Home Health | 9 William Morrison Drive, Randolph, MA 02368 | 2016-02-24 |
| Find all providers in zip 02368 | ||||
| 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 |
|---|---|---|---|---|
| 1841814720 | Zachary Goldstein | Dentist | 1243 Sussex Turnpike, Randolph, NJ 07869-2998 | 2020-06-05 |
| 1497218580 | Christopher Lamorte | Dentist | 390 Nj-10 West, Randolph, NJ 07869 | 2019-04-07 |
| 1144739244 | Dickerson Dental Group, LLC | Dentist | 714 Route 10, Randolph, NJ 07869 | 2017-09-21 |
| 1245779479 | Mary Elizabeth Roberts | Dentist | 8 Laurel Hill Dr, Randolph, NJ 07869-4627 | 2017-02-21 |
| 1265828297 | Grigoriy Efros | Dentist | 20 Fairfield Ave, Randolph, NJ 07869-1420 | 2015-04-07 |
| 1184018061 | Yashashwini Bangalore Marappa | Dentist | 390 Nj-10, Randolph, NJ 07869 | 2015-03-27 |
| 1477677334 | Richard Toyoo Yoshikawa | Dentist | 9 School St, Randolph, VT 05060-1177 | 2007-03-18 |
| 1801955950 | Ross D Werner | Dentist | 125 N High St, Randolph, WI 53956-1267 | 2006-12-06 |
| 1174607493 | Bruce M Seidner | Dentist | 924 Route 10, Randolph, NJ 07869 | 2006-10-24 |
| 1316038268 | Mark Andrew Luttrell | Dentist | 58 S Pleasant St, Randolph, VT 05060-1365 | 2006-09-27 |
| Find all providers in RANDOLPH | ||||
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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.