| Gregory T Randall Dds Pc | |
|
212 W State Road Hastings MI 49058 | |
| (269) 948-6684 | |
| (269) 948-4644 |
| Full Name | Gregory T Randall Dds Pc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 212 W State Road, Hastings, Michigan |
| Authorized Official Name and Position | Gregory Thomas Randall (PRESIDENT) |
| Authorized Official Contact | 2699486684 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory T Randall Dds Pc 212 W State Road Ste A Hastings MI 49058 Ph: (269) 948-6684 | Gregory T Randall Dds Pc 212 W State Road Hastings MI 49058 Ph: (269) 948-6684 |
| NPI Number | 1295896942 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295896942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 017159 (Michigan) | Primary |
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