Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GREGORY THOMAS RANDALL, DDS
ActiveMR. GREGORY THOMAS RANDALL, DDS is a Endodontics healthcare provider located in HASTINGS, Michigan. NPI 1598826265 is currently active in the NPPES registry. Verify at CMS.
Endodontics · HASTINGS, MI
Registration Details
- NPI Number
- 1598826265
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 13, 2006 (19.677244451704 yrs)
- Last Updated
- Jul 8, 2007
- License
-
017159 (MI)
Practice Information
- Address
-
212 W STATE ROADSTE AHASTINGS, MI, 49058Browse MI providers · Browse ZIP 49058
- Phone
- 2699486684
- Fax
- 2699484644
- Primary Specialty
-
Endodontics
1223E0200X
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.