| David F Randolph Dmd Pa | |
|
1779 Sw Barnett Way Ste 101 Lake City FL 32025-6957 | |
| (386) 755-4033 | |
| (386) 755-2581 |
| Full Name | David F Randolph Dmd Pa |
|---|---|
| Speciality | Dentist |
| Location | 1779 Sw Barnett Way Ste 101, Lake City, Florida |
| Authorized Official Name and Position | David F Randolph (DENTIST) |
| Authorized Official Contact | 3867554033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David F Randolph Dmd Pa 1779 Sw Barnett Way Ste 101 Lake City FL 32025-6957 Ph: (386) 755-4033 | David F Randolph Dmd Pa 1779 Sw Barnett Way Ste 101 Lake City FL 32025-6957 Ph: (386) 755-4033 |
| NPI Number | 1528189446 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 09/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528189446 | NPI | - | NPPES |
| 60390 | Other | FL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9899 (Florida) | Primary |
Ramkissoon Weiss Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 272 Sw Bentley Pl, Lake City, FL 32025 Phone: 386-752-3043 Fax: 386-755-1466 | |
Trenton Medical Center, Inc. Dental Clinic Medicare: Medicare Enrolled Practice Location: 173 Nw Albritton Ln, Lake City, FL 32055 Phone: 386-755-4020 Fax: 386-752-9143 | |
Comfortable Care Dental Health Professionals, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2970 West Us Hwy 90, Lake City, FL 32055 Phone: 386-243-2028 | |
Gregory N Borganelli Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 875 Sw State Rd 47, Lake City, FL 32025 Phone: 386-752-8200 Fax: 386-752-8209 | |
Melanie Holden, Dmd, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 255 Sw Main Blvd, Lake City, FL 32025 Phone: 386-752-2480 | |
Andrews & Wheeler, Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 272 Sw Bentley Pl, Lake City, FL 32025 Phone: 386-752-3043 Fax: 386-755-1466 |