MARK LANE RANDALL (NPI# 1316001233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316001233 |
Entity Type | Individual |
Full Name | MARK LANE RANDALL |
Credential | D.M.D. |
Practice Address |
16a Hollis St. Groton MA 01450 |
Mailing Address |
112 Scenic Dr Leominster MA 01453-3451 |
Practice Telephone | 9784486814 |
Practice Fax Number | 9784486835 |
Mailing Telephone | 9785345608 |
Enumeration Date | 2006-12-22 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | 14968 | MA | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699257972 | Mark Randall | Social Worker | 600 Woods Rd, Germantown, NY 12526-5644 | 2018-09-03 |
1720181159 | Mark Calvert Randall | Dentist | 455 S 4th Ave, Ste 864, Louisville, KY 40202-2510 | 2006-09-07 |
1538161351 | Mark Steven Randall | Psychologist | 8075 North Shadeland Avenue, Indianapolis, IN 46256-2693 | 2005-08-11 |
1831470426 | Mark Lee Randall | Surgery | 200 Carraway Dr, Suite 2, Winfield, AL 35594-5048 | 2011-09-08 |
Street Address |
16A HOLLIS ST. |
City | GROTON |
State | MA |
Zip Code | 01450 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184149577 | Anthony Delmonte | Occupational Therapist | 108 Riverbend Dr, Groton, MA 01450 | 2017-08-07 |
1235368242 | Hilde Hamar Westvik | Internal Medicine | 1 Forge Village Road, Ste C, Groton, MA 01450 | 2009-07-11 |
1275796351 | Groton Medical Wellness Spa LLC | Acupuncturist | 493 Main Street, Groton, MA 01450 | 2008-07-08 |
1629231709 | Groton Dental Wellness Center | Dental Hygienist | 495 Main Street, Groton, MA 01450 | 2008-07-08 |
1174793731 | Jane Shustin | Social Worker | 493 A Main St, Mill Run Plaza, Groton, MA 01450 | 2008-03-10 |
1609085083 | Nancy Douglas Foster | Nurse Practitioner | 282 Farmers Row, Groton, MA 01450 | 2007-05-22 |
1689716813 | John P. Katzenberg | Internal Medicine | 292 Main St., Groton, MA 01450 | 2007-02-13 |
1801942768 | Palm Lorraine Riposa | Registered Nurse | 144 Clinics One, Boston, MA 01450 | 2007-01-25 |
1346359957 | John P Scollard | Social Worker | 145 Lowell Road, Groton, MA 01450 | 2006-08-29 |
1326154279 | Paula Christian Vaughan | Obstetrics & Gynecology | 100 Boston Rd., Suite E Groton Medical Associates, Groton, MA 01450 | 2006-08-22 |
Find all providers in zip 01450 |
Taxonomy Code | 122300000X |
Grouping | Dental Providers |
Classification | Dentist |
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952685372 | Hershel Garvin Sawyer | Dentist | 272 Thames St, Groton, CT 06340 | 2011-10-04 |
1922214592 | John Thomas Turick | Dentist | 397 Long Hill Rd, Groton, CT 06340-3812 | 2007-05-14 |
1306958087 | Sufdar Ali | Dentist | 119 W South St, Groton, NY 13073 | 2006-08-31 |
1235245671 | John E Wakim | Dentist | 743 Long Hill Road, Groton, CT 06340 | 2006-08-21 |
1316929219 | David Phelps Jr. | Dentist | 341 Grunnion Ave, Branch Dental Clinic, Groton, CT 06349-5050 | 2005-11-16 |
1871575829 | Usha Shashank Gokhale | Dentist | 341 Grunnion Avenue, Branch Dental Clinic, Groton, CT 06349-5050 | 2005-11-16 |
1831732825 | Cody Clark | Dentist | 1 Wahoo Ave, Groton, CT 06349-2324 | 2019-10-22 |
1710544051 | Maryam Hamdan | Dentist | 493 Main St, Groton, MA 01450-4254 | 2019-05-22 |
1538636527 | Winston Eugene Young | Dentist | 1 Wahoo Ave, Groton, CT 06349-2324 | 2018-10-27 |
1811490931 | Gardette Hutton | Dentist | 1 Wahoo Ave, Groton, CT 06349-2324 | 2018-03-15 |
Find all providers in GROTON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.