Randell, Jay Scott

Randell, Jay Scott is an individual health care provider with primary practice located at 530 Nw 27Th St , Corvallis OR 97330-5223. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dental Public Health. Dental Providers / Dental Public Health is his primary health care specialty. Randell, Jay Scott can be contacted via phone (541) 766-0123.

Contact Information

Primary practice address
530 Nw 27Th St Corvallis OR 97330-5223
Phone: (541) 766-0123
Fax: (541) 766-6186
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 13269 Florida
Dental Providers / General Practice 1223G0001X 202368 Colorado
Dental Providers / General Practice 1223G0001X 044249 New York
Dental Providers / Dental Public Health 1223D0001X D11182 Oregon

Profile Details

NPI number 1437231503
LBN Legal business name Randell, Jay Scott
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Dec 31st, 2019 - about 5 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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