Carrie MD Randolph, DDS

General Practice Dentistry · Kodiak, AK

Individual Active NPI

NPI number 1740594779

Practice location

506 W Marine Way
Kodiak, AK 99615-7311
Phone
(907) 486-3269

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NPI record

NPI
1740594779
Entity type
Individual (Type 1)
Enumeration date
August 2, 2010
Last updated
September 30, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 1346 AK

About Dr. Randolph

Carrie MD Randolph, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 506 W Marine Way, Kodiak, AK 99615-7311. The NPI number 1740594779 was assigned on August 2, 2010 and the record was last updated on September 30, 2016.

Dr. Randolph lists a license in the registry: #1346 (AK) 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 Carrie MD Randolph, DDS?

The NPI number is 1740594779.

What is the phone number of Dr. Randolph?

The phone number listed for the practice location is (907) 486-3269.

Where is Dr. Randolph located?

506 W Marine Way, Kodiak, AK 99615-7311.

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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