Individual provider · Type 1 NPI

Samuel John Randall Iii, DDS

General Practice Dentistry · Charlotte, NC

NPI number 1609896331 Active

Practice location

6842 Morrison Blvd, Suite 202
Charlotte, NC 28211-3547

Call (704) 442-7175 Map

Fax (704) 442-7231

Mailing address

6842 Morrison Blvd., Suite 202
Charlotte, NC 28211

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	4393 (NC)

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.

3 other providers at this address

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About NPI 1609896331

Samuel John Randall Iii, DDS's National Provider Identifier is 1609896331, issued on Jul 19, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Charlotte, NC. The record was last updated on Jul 8, 2007.