Bryan Randolph Dds A Professional Dental Corporation

LBN: Bryan Randolph Dds A Professional Dental Corporation
Bryan Randolph Dds A Professional Dental Corporation is an health care organization with primary practice located at 1621 Creekside Dr Suite 101, Folsom CA 95630-3493. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Bryan Randolph Dds A Professional Dental Corporation can be contacted via phone (916) 984-6747, or through Randolph, Bryan C via phone (916) 984-6747.

Contact Information

Primary practice address
1621 Creekside Dr Suite 101 Folsom CA 95630-3493
Phone: (916) 984-6747
Fax: (916) 984-6746
Website:
Map and Directions
Authorized official contact:
Name: Randolph, Bryan C DDS,MS
Phone: (916) 984-6747

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 41779 California

Profile Details

NPI number 1164631776
LBN Legal business name Bryan Randolph Dds A Professional Dental Corporation
DBA Doing business as
Authorized official Randolph, Bryan C DDS,MS
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2007
Last updated Jan 6th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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