| Mark Lane Randall, DMD | |
|
16a Hollis St., Groton, MA 01450 | |
| (978) 448-6814 | |
| (978) 448-6835 |
| Full Name | Mark Lane Randall |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 16a Hollis St., Groton, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316001233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 14968 (Massachusetts) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Lane Randall, DMD 112 Scenic Dr, Leominster, MA 01453-3451 Ph: (978) 534-5608 | Mark Lane Randall, DMD 16a Hollis St., Groton, MA 01450 Ph: (978) 448-6814 |
Dr. Tiffany Kuang, DMD Dentist Medicare: Medicare Enrolled Practice Location: 489 Main St Ste C, Groton, MA 01450 Phone: 978-708-0080 Fax: 978-708-0081 | |
Dr. Marc Christopher Valli, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 292 Main St, Groton, MA 01450 Phone: 978-448-5241 | |
G. Robert Evans, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 495 Main St, Groton, MA 01450 Phone: 978-449-9919 | |
Sue Min Mak, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 495 Main St, Groton, MA 01450 Phone: 415-347-6256 | |
Dr. Molly Harrison Valli, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 292 Main St, Groton, MA 01450 Phone: 978-448-5241 | |
Dr. Jacqueline Andrea Lucero, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 495 Main St, Groton, MA 01450 Phone: 978-449-9919 |