Elmo R. Randolph, DMD

General Practice Dentistry · Orange, NJ

Individual Active NPI

NPI number 1073762530

Practice location

462 S Harrison St
Orange, NJ 07050-3115
Phone
(973) 674-8180
Fax
(973) 676-5020

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NPI record

NPI
1073762530
Entity type
Individual (Type 1)
Enumeration date
September 9, 2008
Last updated
September 9, 2008
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 14034 NJ

About Dr. Randolph

Elmo R. Randolph, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 462 S Harrison St, Orange, NJ 07050-3115. The NPI number 1073762530 was assigned on September 9, 2008 and the record was last updated on September 9, 2008.

Dr. Randolph lists a license in the registry: #14034 (NJ) 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 Elmo R. Randolph, DMD?

The NPI number is 1073762530.

What is the phone number of Dr. Randolph?

The phone number listed for the practice location is (973) 674-8180.

Where is Dr. Randolph located?

462 S Harrison St, Orange, NJ 07050-3115.

What is the taxonomy code for Dr. Randolph?

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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