RANDALL W. HALLIDAY, D.D.S., INC. (NPI# 1457562993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457562993 |
| Entity Type | Organization |
| Organization Name | RANDALL W. HALLIDAY, D.D.S., INC. |
| Practice Address |
1697 N Waterman Ave San Bernardino CA 92404-5112 |
| Practice Telephone | 9098866845 |
| Practice Fax Number | 9098829804 |
| Mailing Telephone | 9098866845 |
| Mailing Fax Number | 9098829804 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RANDALL HALLIDAY (PRESIDENT) |
| Authorized Official Telephone | 9098866845 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
22609 | CA | Dental Providers |
| Street Address |
1697 N WATERMAN AVE |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92404-5112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932488681 | Randall W Halliday Dds Inc | Dentist | 1697 N Waterman Ave, San Bernardino, CA 92404-5112 | 2011-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740849363 | Danniella Alexandra Murillo | Physician Assistant | 2101 North Waterman Ave, San Bernardino, CA 92404 | 2019-06-07 |
| 1902377484 | Shauntel Renee Nelson | Student in an Organized Health Care Education/Training Program | 1481 N. Windsor Dr., San Bernardino, CA 92404 | 2018-12-10 |
| 1487123584 | Garrett M Grigg | Licensed Psychiatric Technician | 1481 N Windsor Dr, San Bernardino, CA 92404 | 2018-11-19 |
| 1881163434 | James Dean Anders | Counselor | 1481 Windsor Drive, San Bernardino, CA 92404 | 2018-11-13 |
| 1043703564 | Samantha Makpaiboonvatana | Optometrist | 1909 N Waterman Ave Ste 3, San Bernardino, CA 92404 | 2018-06-09 |
| 1861981623 | Christopher Windham | Behavior Technician | 2460 Fremontia Dr, San Bernardino, CA 92404 | 2018-05-08 |
| 1891145041 | Cynthia Lusy Gastelum | Marriage & Family Therapist | 1885 E Lynwood Dr Rm Se3, San Bernardino, CA 92404 | 2016-06-20 |
| 1336598259 | Foundation Enterprises LLC | Non-emergency Medical Transport (VAN) | 1663 Date Pl., #30390, San Bernardino, CA 92404 | 2016-06-10 |
| 1881042877 | Helen Ann Thompson | Speech-Language Pathologist | 1311 E. State St., San Bernardo, CA 92404 | 2016-05-31 |
| 1366839938 | Lanecia Richardson | Counselor | 135 Paul Drive, San Rafeal, CA 92404 | 2015-04-22 |
| Find all providers in zip 92404 | ||||
| Taxonomy Code | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851918262 | Fernandez Torres Dds LLC | Dentist | 4738 Scotts Valley Dr Ste A, Scotts Valley, CA 95066-4239 | 2020-07-01 |
| 1689138703 | Green Valley Oral Surgery and Dental Implant Center | Dentist | 5140 Business Center Dr Ste 120, Fairfield, CA 94534-1794 | 2019-01-23 |
| 1366928509 | Jason W. Pair D.d.s. A.p.c. | Dentist | 18907 Nordhoff St. #42, Northridge, CA 91324-3794 | 2018-07-11 |
| 1801314968 | Azar Professional Dental Corporation | Dentist | 3403 E Plaza Blvd Ste F, National City, CA 91950-4140 | 2017-09-08 |
| 1356865422 | F.farshidi Dds Md | Dentist | 2401 W Chapman Ave Ste 101, Orange, CA 92868-2327 | 2017-08-01 |
| 1487082046 | Scripps Oral Pathology Service, LLC | Dentist | 5190 Governor Dr Ste 106, San Diego, CA 92122-2848 | 2013-10-17 |
| 1497014146 | Brent J Ramsey | Dentist | 27450 Tourney Rd Ste 160, Valencia, CA 91355-1863 | 2012-05-15 |
| 1184869463 | Lan Su | Dentist | 31332 Via Colinas Ste 109, Westlake Village, CA 91362-6779 | 2008-12-15 |
| 1891987913 | Mahvash Navazesh | Dentist | 925 W 34th St Ste 151, Los Angeles, CA 90089-0641 | 2007-08-13 |
| 1124239488 | Andres F Herrera | Dentist | 546 Abbott St, Salinas, CA 93901-4000 | 2007-05-25 |
| Find all providers with the same taxonomy | ||||
| City | SAN BERNARDINO |
| Zip Code | 92404 |
Please comment or provide details below to improve the information on RANDALL W. HALLIDAY, D.D.S., INC..
| 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.