Individual provider · Type 1 NPI

Sandra Randolph, RDH, OMT

Specialist · Belfry, MT

NPI number 1760207658 Active

Practice location

52 Crazy Horse Ln
Belfry, MT 59008-9510

Mailing address

PO Box 238
Belfry, MT 59008-0238

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist 124Q00000XDEN-RDH-LIC-28199 (MT)
Specialist Primary 174400000XDEN-RDH-LIC-28199 (MT)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

About NPI 1760207658

Sandra Randolph, RDH, OMT's National Provider Identifier is 1760207658, issued on Nov 18, 2024. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Belfry, MT. The record was last updated on Jun 18, 2025.