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Contact Information

RANDALL MADSEN, DDS
7138 S HIGHLAND DR
#109
SALT LAKE CITY, UT84121
 Phone: 801-942-8686
 Fax: 801-942-7652
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for RANDALL MADSEN · (Male)

NPI Number 1447310925
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 12/12/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 5639652
Hospital affiliation(s) Not Available
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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