Gregory Marshall Randolph, D,D.S.
General Practice Dentistry · Bloomington, IL
Practice location
119 N Williamsburg DrBloomington, IL 61704-3528
- Phone
- (309) 663-1326
- Fax
- (309) 662-3551
NPI record
- NPI
- 1801937222
- Entity type
- Individual (Type 1)
- Enumeration date
- February 9, 2007
- Last updated
- April 3, 2025
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
019-020416 | IL |
About Gregory Randolph
Gregory Marshall Randolph, D,D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 119 N Williamsburg Dr, Bloomington, IL 61704-3528. The NPI number 1801937222 was assigned on February 9, 2007 and the record was last updated on April 3, 2025.
Gregory Randolph lists a license in the registry: #019-020416 (IL) 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 Gregory Marshall Randolph, D,D.S.?
The NPI number is 1801937222.
What is the phone number of Gregory Randolph?
The phone number listed for the practice location is (309) 663-1326.
Where is Gregory Randolph located?
119 N Williamsburg Dr, Bloomington, IL 61704-3528.
What is the taxonomy code for Gregory 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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