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Contact Information

GREGORY T RANDALL, DDS
212 W STATE ROAD
STE A
HASTINGS, MI49058
 Phone: 269-948-6684
 Fax: 269-948-4644
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for GREGORY T RANDALL · (Male)

NPI # 1598826265
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 12/13/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 017159
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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