RANDALL K. STUART (NPI# 1619159464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619159464 |
| Entity Type | Individual |
| Full Name | RANDALL K. STUART |
| Credential | D.M.D. |
| Practice Address |
902 Echo Vale Dr Bedford PA 15522-2010 |
| Practice Telephone | 8146232217 |
| Practice Fax Number | 8146236271 |
| Mailing Telephone | 8146232217 |
| Mailing Fax Number | 8146236271 |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2007-12-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DS028687L | PA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0017833650001 | 05 |
| Street Address |
902 ECHO VALE DR |
| City | BEDFORD |
| State | PA |
| Zip Code | 15522-2010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033190640 | Bedford Dental Professional Corp | Dentist | 902 Echo Vale Dr, Bedford, PA 15522 | 2005-11-10 |
| 1356857932 | Radiant Dental of Bedford PC | Dentist | 902 Echo Vale Dr, Bedford, PA 15522-2010 | 2017-12-19 |
| 1457791519 | Kyle Patrick Dumpert | Dentist | 902 Echo Vale Dr, Bedford, PA 15522-2010 | 2013-07-03 |
| 1811177694 | William M. Stiffler | Dentist | 902 Echo Vale Dr, Bedford, PA 15522-2010 | 2007-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253308 | Jennifer Ann Leibfreid | Pharmacist | 654 E Pitt St, Bedford, PA 15522 | 2020-10-21 |
| 1336632579 | Jesse Wolfe | Physical Therapist | 9613 Lincoln Hwy Ste 107, Bedford, PA 15522 | 2018-06-12 |
| 1730602178 | Jamie Dawn Wilson | Behavior Technician | 3759business 220 N, Suite 101, Bedford, PA 15522 | 2017-07-18 |
| 1649723529 | Gina Rievel | Physical Therapy Assistant | 320 E Watson Street, Bedford, PA 15522 | 2016-07-27 |
| 1295184356 | Megan Ann Diehl | Social Worker | 3759 Business Route 220 N., Suite 101, Bedford, PA 15522 | 2016-06-09 |
| 1275912644 | Alternative Community Resource Program | Public Health or Welfare | 3759 Business Rt. 220, Bedford, PA 15522 | 2015-05-19 |
| 1588002513 | Gennifer E Washington | Social Worker | 104 Blanche St, Bedford, PA 15522 | 2013-06-12 |
| 1942554787 | Kristen Susannah Kozak | Nurse Practitioner | Upmc Bedford Walk In Clinic, 420 E. Central Way, Bedford, PA 15522 | 2012-11-01 |
| 1861753576 | Kelly Nicole Ford | Social Worker | 5157 Business 220, Bedford, PA 15522 | 2012-05-30 |
| 1932465234 | Amberly Shaffer | Counselor | 3759 Business Rte. 220 N. Suite 101, Bedford, PA 15522 | 2012-04-11 |
| Find all providers in zip 15522 | ||||
| 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 |
|---|---|---|---|---|
| 1104342286 | Grant Michael Hardisty | Dentist | 924 Williams Park Dr, Bedford, IN 47421-6713 | 2017-08-20 |
| 1750738019 | Floss and Gloss | Dentist | 505 N Industrial Blvd, #800, Bedford, TX 76021-6168 | 2016-05-17 |
| 1669853503 | Durga Buchupally | Dentist | 2212 Central Dr Ste 101, Bedford, TX 76021-5835 | 2015-06-16 |
| 1962827709 | Rizwaan Rauf, Dds Pllc | Dentist | 4105 Highway 121, 610, Bedford, TX 76021-3039 | 2014-03-04 |
| 1205186814 | Dulcimeire Schulmeyer | Dentist | 1404 Brown Trl Ste C, Bedford, TX 76022-6417 | 2012-09-12 |
| 1124387196 | 1-stop Dental Pllc | Dentist | 2101-150 Hardwood Road, Unit #6, Bedford, TX 76021 | 2012-05-11 |
| 1972819985 | Prachi Vartikar | Dentist | 3704 Cheek-sparger Road, Suite100, Bedford, TX 76201 | 2010-08-27 |
| 1780859934 | Susan Christine Millner | Dentist | 3808 Victoria Ct, Bedford, TX 76021-6159 | 2008-04-29 |
| 1073781852 | John C Holmes | Dentist | 448c Old Post Rd, Bedford, NY 10506 | 2008-02-14 |
| 1053590646 | Eugene Michael Tedaldi Sr. | Dentist | Main Street 26-28 Village Green, Suite 5, Bedford, NY 10506 | 2007-10-31 |
| Find all providers in BEDFORD | ||||
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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.