Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GREGORY M RANDOLPH DDS & ASSOCIATES, LTD
Active OrganizationGREGORY M RANDOLPH DDS & ASSOCIATES, LTD is a General Dentistry organization located in BLOOMINGTON, Illinois. NPI 1104639004 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · BLOOMINGTON, IL
Registration Details
- NPI Number
- 1104639004
- Provider Type
- Organization
- NPI Issued
- Jan 27, 2025 (1.5623424580229 yrs)
- Last Updated
- Jul 16, 2025
Practice Information
- Address
-
119 N WILLIAMSBURG DRBLOOMINGTON, IL, 617043528Browse IL providers · Browse ZIP 61704
- Phone
- 3096631326
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Organizations in BLOOMINGTON, IL
| Name | NPI |
|---|---|
| H & H FAMILY DENTAL, PC | 1669558250 |
| AFFORDABLE DENTISTRY TODAY, PC | 1598987067 |
| DENTAL PROFESSIONALS OF ILLINOIS, P.C. | 1093937369 |
| BLOOMINGTON FAMILY DENTAL, LTD. | 1467674770 |
| AFFORDABLE DENTISTRY TODAY, PC | 1205058666 |
| LIFETIME DENTAL CARE OF ILLINOIS, PC | 1265654412 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.