Organization · Type 2 NPI
Gregory M Randolph DDS & Associates, Ltd
General Practice Dentistry · Bloomington, IL
NPI number
1104639004
Active
Practice location
119 N Williamsburg Dr
Bloomington, IL 61704-3528
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | None listed |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2 other providers at this address
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About NPI 1104639004
Gregory M Randolph DDS & Associates, Ltd's National Provider Identifier is 1104639004, issued on Jan 27, 2025. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Bloomington, IL. The record was last updated on Jul 16, 2025.