Carlton, Randall

Carlton, Randall is an individual health care provider with primary practice located at 1712 N Access Rd , Clyde TX 79510-3352. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is his primary health care specialty. Carlton, Randall can be contacted via phone (325) 893-4010.

Contact Information

Primary practice address
1712 N Access Rd Clyde TX 79510-3352
Phone: (325) 893-4010
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 23368 Texas
Dental Providers / General Practice 1223G0001X 23368 Texas

Profile Details

NPI number 1609072750
LBN Legal business name Carlton, Randall
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2007
Last updated Jul 15th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609072750 NPPES
Texas MEDICAID 196489211
Texas MEDICAID 196489202

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