| Randle T. Carr, Dds, P.s. | |
|
3400 Squalicum Pkwy Suite 107 Bellingham WA 98225-1933 | |
| (360) 734-9926 | |
| (360) 734-0855 |
| Full Name | Randle T. Carr, Dds, P.s. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3400 Squalicum Pkwy, Bellingham, Washington |
| Authorized Official Name and Position | Randle T Carr (PRESIDENT) |
| Authorized Official Contact | 3607349926 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randle T. Carr, Dds, P.s. 3400 Squalicum Pkwy Suite 107 Bellingham WA 98225-1933 Ph: (360) 734-9926 | Randle T. Carr, Dds, P.s. 3400 Squalicum Pkwy Suite 107 Bellingham WA 98225-1933 Ph: (360) 734-9926 |
| NPI Number | 1053326538 |
|---|---|
| Provider Enumeration Date | 07/30/2006 |
| Last Update Date | 05/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053326538 | NPI | - | NPPES |
| 602-330-302 | Other | WA | WA UBI NUMBER |
| 5038815 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE00008137 (Washington) | Primary |
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