Ryan Randol DDS PC

General Practice Dentistry · Lake Oswego, OR

Organization Active NPI

NPI number 1003200205

Practice location

3993 Lake Grove Ave
Lake Oswego, OR 97035-4493
Phone
(503) 636-0055

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NPI record

NPI
1003200205
Entity type
Organization (Type 2)
Enumeration date
March 25, 2015
Last updated
March 25, 2015
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X — —

Authorized official

Name
Dr. Ryan Randol, D.D.S.
Title
President
Phone
(541) 671-3716

About Ryan Randol DDS PC

Ryan Randol DDS PC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 3993 Lake Grove Ave, Lake Oswego, OR 97035-4493. The NPI number 1003200205 was assigned on March 25, 2015 and the record was last updated on March 25, 2015.

The authorized official for this organization is Dr. Ryan Randol, D.D.S., President.

Frequently asked questions

What is the NPI number of Ryan Randol DDS PC?

The NPI number is 1003200205.

What is the phone number of Ryan Randol DDS PC?

The phone number listed for the practice location is (503) 636-0055.

Where is Ryan Randol DDS PC located?

3993 Lake Grove Ave, Lake Oswego, OR 97035-4493.

What is the taxonomy code for Ryan Randol DDS PC?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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