National Provider Identifier Database

JAY S RANDELL, DMD – NPI #1437231503
Dental Public Health

The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.


Contact Information

JAY S RANDELL, DMD
530 NW 27TH ST
CORVALLIS, OR97330-5223
Phone: 541-766-0123
Fax: 541-766-6186
Website:
Specialty Taxonomy Code
* Dental Public Health 1223D0001X
General Practice 1223G0001X

* Indicates primary specialty

NPI Profile & details for JAY S RANDELL

NPI Number 1437231503
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 10/19/2006
Last updated 12/31/2019 - About 6 years ago
Sole proprietor1 No
Identifiers
  • CO License #: 202368
  • FL License #: 13269
  • NY License #: 044249
  • OR License #: D11182
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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