Jones, Randall Stephon

Jones, Randall Stephon is an individual health care provider with primary practice located at 3053B Freedom Dr , Charlotte NC 28208-3859. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Jones, Randall Stephon can be contacted via phone (704) 393-3911.

Contact Information

Primary practice address
3053B Freedom Dr Charlotte NC 28208-3859
Phone: (704) 393-3911
Fax: (704) 393-3911
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3574 South Carolina
Dental Providers / General Practice 1223G0001X 8317 North Carolina

Profile Details

NPI number 1245207471
LBN Legal business name Jones, Randall Stephon
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated May 17th, 2013 - about 12 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 1245207471 NPPES
North Carolina MEDICAID 5905629
North Carolina Other 903AC

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