Randolph R. Pitzer Dds Pc

LBN: Randolph R. Pitzer Dds Pc
Randolph R. Pitzer Dds Pc is an health care organization with primary practice located at 2224 1St Ave W , Williston ND 58801-6286. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Randolph R. Pitzer Dds Pc can be contacted via phone (701) 774-0259, or through Pitzer, Randolph Richard via phone (701) 774-0259.

Contact Information

Primary practice address
2224 1St Ave W Williston ND 58801-6286
Phone: (701) 774-0259
Fax: (701) 774-0250
Website:
Map and Directions
Authorized official contact:
Name: Pitzer, Randolph Richard Doctor of Dental Surgery (DDS)
Phone: (701) 774-0259

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 1628 North Dakota
Dental Providers / Dentist 122300000X 2010 North Dakota

Profile Details

NPI number 1154575199
LBN Legal business name Randolph R. Pitzer Dds Pc
DBA Doing business as
Authorized official Pitzer, Randolph Richard Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 4th, 2008
Last updated Nov 4th, 2008 - about 16 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 1154575199 NPPES
North Dakota MEDICAID 40031

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