MARK LANE RANDALL


Address: 16a Hollis St., Groton, MA 01450
Phone: 9784486814

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 14968 MA Dental Providers

Other Providers MARK RANDALL

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

Office Location

Street Address 16A HOLLIS ST.
City GROTON
State MA
Zip Code 01450

Providers in the same zip code

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 Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Competitor

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City GROTON
Zip Code 01450

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Dataset Information

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.

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