Randall L Davis Dmd Pc

LBN: Randall L Davis Dmd Pc
Randall L Davis Dmd Pc is an health care organization with primary practice located at 100 Amesbury St Ste 203, Lawrence MA 01840. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Randall L Davis Dmd Pc can be contacted via phone (978) 686-8500, or through Davis, Randall L via phone (978) 686-8500.

Contact Information

Primary practice address
100 Amesbury St Ste 203 Lawrence MA 01840
Phone: (978) 686-8500
Fax: (978) 686-4032
Website:
Map and Directions
Authorized official contact:
Name: Davis, Randall L Doctor of Dental Medicine (DMD)
Phone: (978) 686-8500

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 20413 Massachusetts

Profile Details

NPI number 1831226117
LBN Legal business name Randall L Davis Dmd Pc
DBA Doing business as
Authorized official Davis, Randall L Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2007
Last updated Mar 9th, 2012 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831226117 NPPES
Massachusetts Other X11220 BC BS
Massachusetts MEDICAID 9785914 BC BS
Massachusetts Other 30312396 BC BS
Massachusetts Other 046143185 BC BS

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