DR. Gregory Dwight Randolph, DDS is an oral and maxillofacial surgery dentist in San Antonio, TX. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Gregory Dwight Randolph, DDS NPI is 1023188299. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
7300 BLANCO RD STE 100
SAN ANTONIO, TX
ZIP 78216-937
Phone: (210) 344-9898
Fax: (210) 344-9118
The NPI 1023188299 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 11/8/2006 and was last updated on 12/28/2020.