Individual provider · Type 1 NPI

Charles D. Randolph, DDS

General Practice Dentistry · Mamaroneck, NY

NPI number 1164589107 Active

Practice location

875 Mamaroneck Ave, Suite 302
Mamaroneck, NY 10543-1900

Call (914) 835-6004 Map

Fax (914) 835-6055

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X028137 (NY)

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.

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About NPI 1164589107

Charles D. Randolph, DDS's National Provider Identifier is 1164589107, issued on Jan 2, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Mamaroneck, NY. The record was last updated on Feb 3, 2014.