Dentist in BURLINGTON, IA
Last Updated on : Jul 08,2007
BRADLEY A RANDOLPH is a Dentist provider in BURLINGTON, United States. His medical specialization is Dentist with a focus in General Practice.
1497757546 is NPI number of BRADLEY A RANDOLPH.
BRADLEY A RANDOLPH's primary taxonomy code based on NPI Lookup is 1223G0001X with license number 07810. This taxonomy code refers to Dentist.
BRADLEY A RANDOLPH has more than 17 years of experience.
BRADLEY A RANDOLPH current practice location address is 320 N 3RD ST, BURLINGTON, IA. BRADLEY A RANDOLPH can be reached out via phone at 319-753-1600 and via fax at 319-752-9453 .
You can also correspond with BRADLEY A RANDOLPH through mail at mailing address 320 N 3RD ST, BURLINGTON, IA, United States. Mailing address contact number is 319-753-1600.
The enumeration date of BRADLEY A RANDOLPH is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 16 years ago.Basic NPI information of BRADLEY A RANDOLPH (NPI 1497757546) is provided below.
Name | BRADLEY A RANDOLPH |
---|---|
National Provider Id (NPI) | 1497757546 |
Entity Type | Individual |
Gender | M |
Credential | D.D.S. |
Practice Address | 320 N 3RD ST,
STE 711
BURLINGTON, IA, United States |
Practice Telephone | 319-753-1600 |
Practice Fax Number | 319-752-9453 |
Mailing Address | 320 N 3RD ST ,
STE 711
BURLINGTON, IA, United States |
Mailing Telephone | 319-753-1600 |
Mailing Fax Number | 319-752-9453 |
Enumeration Date | 01-Jun-2005 |
Last Updated Date | 08-Jul-2007 |
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
Primary | Taxonomy Code | Clasification | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | Dentist, General Practice | 07810 | IA |
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.
Here are a few of the other providers in the same location.
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---|---|---|---|---|
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24-Dec-2007 |
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24-Mar-2010 |
1962686253 | 2305 RANCOCAS ROAD OPERATIONS LLC | Skilled Nursing Facility | 101 E STATE ST,
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21-Dec-2007 |
1942686738 | 300 PEARL STREET OPERATIONS LLC | Skilled Nursing Facility | 300 PEARL STREET,
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04-Aug-2015 |
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26-Aug-2022 |
1609145457 | 42 NORTH DENTAL CARE, LLC | Clinic/Center, Dental | 184 CAMBRIDGE ST,
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23-Dec-2011 |
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20-Aug-2018 |
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16-Jan-2007 |
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26-Sep-2008 |
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03-Feb-2022 |
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25-Mar-2008 |
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26-May-2009 |
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22-Oct-2019 |
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03-Nov-2013 |
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06-May-2009 |
1952761140 | A STEP ABOVE REHABILITATION | Community/Behavioral Health | 1029 CHAPEL HILL RD,
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01-Mar-2016 |
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27-Apr-2015 |
1861747974 | A STEP AHEAD-BOSTON, LLC | Prosthetic/Orthotic Supplier | 132 NEWBRIDGE ROAD,
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16-Jul-2012 |
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BURLINGTON, NC, United States |
26-Nov-2007 |
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
1497757546 is the NPI number of BRADLEY A RANDOLPH.
What is the specialty for BRADLEY A RANDOLPH?The Specialty of BRADLEY A RANDOLPH is Dentist.
Field Name | Field Value |
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NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
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Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
Last Update Date | The date that a record was last updated or changed. |
Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
Provider License Number State Code | Provider License Number State Code #1 |
Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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