DAVID F RANDOLPH DMD PA (NPI# 1528189446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528189446 |
| Entity Type | Organization |
| Organization Name | DAVID F RANDOLPH DMD PA |
| Practice Address |
1779 Sw Barnett Way Ste 101 Lake City FL 32025-6957 |
| Practice Telephone | 3867554033 |
| Practice Fax Number | 3867552581 |
| Mailing Telephone | 3867554033 |
| Mailing Fax Number | 3867552581 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2009-09-23 |
| Authorized Official Name | DAVID F RANDOLPH (DENTIST) |
| Authorized Official Telephone | 3867554033 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 9899 | FL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD | 60390 | 01 |
| Street Address |
1779 SW BARNETT WAY STE 101 |
| City | LAKE CITY |
| State | FL |
| Zip Code | 32025-6957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881715795 | David F Randolph | Dentist | 1779 Sw Barnett Way Ste 101, Lake City, FL 32025-6957 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801438353 | Jennifer Bennett | Pharmacist | 347 Sw Main Blvd Suite 102, Lake City, FL 32025 | 2019-10-16 |
| 1700352838 | Robert J Sansouci IIi IIi | Physical Therapy Assistant | 560 Sw Mcfarlane Ave, Lake City, Fl, 32025, Lake City, FL 32025 | 2018-10-16 |
| 1316442783 | Emily Bailey | Developmental Therapist | 2126 Sw Sisters Welcome Rd, Lake City, FL 32025 | 2018-03-28 |
| 1811446370 | Michelle Hart | Behavioral Analyst | 260 S. Marion Avenue, Bldg. A, Suite 135, Lake City, FL 32025 | 2016-09-26 |
| 1922467646 | Irene Aponte Moreno | Nurse Practitioner | 440 Sw Perimeter Glen, Lake City, FL 32025 | 2016-02-23 |
| 1093186777 | Decarlos Scippio | Counselor | 619 Sw Baya Drive Suite 102, Lake City, FL 32025 | 2015-10-07 |
| 1497132476 | Jamecia Legree | Registered Nurse | 800 Sw Symphony Loop, Bldg 15 Apt 204, Lake City, FL 32025 | 2015-04-29 |
| 1306249149 | Mercy Home Assisted Living Facility LLC | Assisted Living Facility | 184 S.e. Beech Street, Lake City, FL 32025 | 2014-10-08 |
| 1598174344 | Karen Mcdonald | Developmental Therapist | 4523 Se County Road 252, Lake City, FL 32025 | 2014-08-06 |
| 1275944126 | Mohammad Ali Faisal Mdpa | Specialist | 1283 Sw State Rd 47, Ste 104, Lake City, FL 32025 | 2014-05-14 |
| Find all providers in zip 32025 | ||||
| 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 |
|---|---|---|---|---|
| 1487183745 | Joshua Allore | Dentist | 2970 W Us Highway 90., Lake City, FL 32055 | 2017-06-08 |
| 1154750180 | Comfortable Care Dental Health Professionals, Pa | Dentist | 2970 West Us Hwy 90, Lake City, FL 32055-4730 | 2013-11-12 |
| 1780813568 | Andrew P Martin | Dentist | 844 South Marion Avenue, Lake City, FL 32025 | 2009-07-14 |
| 1912141946 | Charles Smith Loeck | Dentist | 1100 N Douglas St, Lake City, IA 51449-1111 | 2009-04-21 |
| 1699959726 | Gregory Allen | Dentist | 255 S.w Main Blvd., Lake City, FL 32025 | 2007-12-26 |
| 1932308145 | Smile Designs By Charlotte Gerry | Dentist | 857 Sw Main Blvd, Suite 105, Lake City, FL 32024 | 2007-07-17 |
| 1053513242 | Lauren Leslie Cartwright | Dentist | 217 Ne Franklin Street, Lake City, FL 32055-2981 | 2007-06-01 |
| 1457405516 | Daniel W Guy | Dentist | 323 Mercy Street, Lake City, SC 29560 | 2007-01-23 |
| 1811069362 | Scott Alan Knudsen | Dentist | 210 N Lakeshore Dr, Lake City, MN 55041-1551 | 2006-11-13 |
| 1154302974 | Dean A Flugstad Dds Pa | Dentist | 113 W Center St, Lake City, MN 55041-1635 | 2005-11-09 |
| Find all providers in LAKE CITY | ||||
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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.