Chantelle Elizabaeth Randall, DDS

General Practice Dentistry · Port Huron, MI

Individual Active NPI

NPI number 1063185296

Practice location

1978 Holland Ave
Port Huron, MI 48060-1520
Phone
(810) 987-7511

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NPI record

NPI
1063185296
Entity type
Individual (Type 1)
Enumeration date
July 25, 2021
Last updated
July 26, 2021
Certified
July 26, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 2901601063 MI

About Dr. Randall

Chantelle Elizabaeth Randall, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1978 Holland Ave, Port Huron, MI 48060-1520. The NPI number 1063185296 was assigned on July 25, 2021 and the record was last updated on July 26, 2021.

Dr. Randall lists a license in the registry: #2901601063 (MI) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Chantelle Elizabaeth Randall, DDS?

The NPI number is 1063185296.

What is the phone number of Dr. Randall?

The phone number listed for the practice location is (810) 987-7511.

Where is Dr. Randall located?

1978 Holland Ave, Port Huron, MI 48060-1520.

What is the taxonomy code for Dr. Randall?

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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