Individual provider · Type 1 NPI
Gregory Marshall Randolph, D, D.S.
General Practice Dentistry · Bloomington, IL
NPI number
1801937222
Active
Practice location
119 N Williamsburg Dr
Bloomington, IL 61704-3528
Fax (309) 662-3551
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 019-020416 (IL) |
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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- Mark Burgess, DMDGeneral Practice Dentistry Bloomington, IL NPI 1154492593
- Stacey Karzen Van Scoyoc, DDSGeneral Practice Dentistry Bloomington, IL NPI 1194933283
- Nikola Petrovic, DMDGeneral Practice Dentistry Bloomington, IL NPI 1215861182
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About NPI 1801937222
Gregory Marshall Randolph, D, D.S.'s National Provider Identifier is 1801937222, issued on Feb 9, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Bloomington, IL. The record was last updated on Apr 3, 2025.