Individual provider · Type 1 NPI

Gregory Dwight Randolph, DDS

Oral and Maxillofacial Surgery (Dentist) · San Antonio, TX

NPI number 1023188299 Active

Practice location

7300 Blanco Rd Ste 100
San Antonio, TX 78216-4937

Call (210) 344-9898 Map

Fax (210) 344-9118

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XD12316 (TX)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1023188299

Gregory Dwight Randolph, DDS's National Provider Identifier is 1023188299, issued on Nov 8, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in San Antonio, TX. The record was last updated on Dec 28, 2020.