RANDOLPH EVANS FAMILY DENTISTRY NPI 1356725428

NPI Information

NPI: 1356725428
Provider Name: RANDOLPH EVANS FAMILY DENTISTRY
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
22 SIERRA DR
MARTINSBURG, WV
ZIP 25403
Phone: (304) 263-3131
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RANDOLPH EVANS FAMILY DENTISTRY is a dental clinic center in Martinsburg, WV. RANDOLPH EVANS FAMILY DENTISTRY NPI is 1356725428. The provider is registered as an organization entity type.

The provider's business location address is:

22 SIERRA DR
MARTINSBURG, WV
ZIP 25403-133
Phone: (304) 263-3131

The provider's authorized official is Randolph Evans .
The authorized official title is Dentist/owner and has the following contact phone number (304) 263-3131.

The enumeration date for this NPI number is 7/17/2015 and was last updated on 7/17/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	4175	WEST VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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