Randolph Family Dental LLC
Randolph Family Dental LLC provides General Practice Dentistry in Randolph, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2015.
- Licensed in
- WI
- In the registry since
- 2015
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
125 N High StRandolph, WI 53956-1267 Not confirmed with CMS for 11 years — call before visiting
Phone: (920) 326-3191
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 3858 (WI) |
|---|
Record details
| NPI number | 1154711190 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ross Werner — Member · (920) 326-3191 |
| NPI enumerated | January 29, 2015 |
| Last updated in NPPES | January 29, 2015 |
| Mailing address | 125 N High St, Randolph, WI 53956-1267 |
Other providers in Randolph
-
Dr. Myriel Jamae Werner, DDS
125 N High St, Randolph, WI 53956-1267 · (920) 326-3191