Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JAY SCOTT RANDELL, DMD
ActiveDR. JAY SCOTT RANDELL, DMD is a Dental Public Health healthcare provider located in CORVALLIS, Oregon. NPI 1437231503 is currently active in the NPPES registry. Verify at CMS.
Dental Public Health · CORVALLIS, OR
Registration Details
- NPI Number
- 1437231503
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 19, 2006 (19.63660784969 yrs)
- Last Updated
- Dec 31, 2019
- Licenses
-
13269 (FL)202368 (CO)044249 (NY)D11182 (OR)
Practice Information
- Address
-
530 NW 27TH STCORVALLIS, OR, 973305223Browse OR providers · Browse ZIP 97330
- Phone
- 5417660123
- Fax
- 5417666186
- Primary Specialty
-
Dental Public Health
1223D0001X
- Additional Specialty
- General Dentistry
- Additional Specialty
- General Dentistry
- Additional Specialty
- Dental Public Health
Other Dental Public Health Providers in CORVALLIS, OR
| Name | Credential | NPI |
|---|---|---|
| LORENA YOKO LAVARNE | DMD | 1457429631 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.