Elliott, Randall Harley
Elliott, Randall Harley is an individual health care provider with primary practice located at 120 Callaway Court , Bowling Green KY 42103. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Elliott, Randall Harley can be contacted via phone (270) 782-0716.Contact Information
Primary practice address
120 Callaway Court
Bowling Green KY 42103
Phone: (270) 782-0716
Fax: (270) 746-9603
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 7717 | Kentucky |
Profile Details
| NPI number | 1659480275 |
|---|---|
| LBN Legal business name | Elliott, Randall Harley |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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