RYAN RANDOL DDS PC
NPI 1003200205
Dentist - General Practice in Lake Oswego, OR

Q: What is Ryan Randol Dds PC's NPI number?

The NPI number for Ryan Randol Dds PC is 1003200205. It was assigned to this organization in the NPPES registry on March 25, 2015.

Q: What is Ryan Randol Dds PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since March 25, 2015

3993 LAKE GROVE AVE, LAKE OSWEGO, OR 97035(503) 636-0055 Get Directions Write a Review

NPPES record last updated: March 25, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ryan Randol Dds Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RYAN RANDOL DDS PC (NPI 1003200205) is a healthcare organization registered as a general practice in Lake Oswego, Oregon and active in the NPI registry since March 2015. The organization lists Ryan Randol, President, as its authorized official.

NPPES Registry Identity

NPI1003200205

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameRYAN RANDOL DDS PC

Location Address3993 LAKE GROVE AVELake Oswego, OR 97035-4493

Mailing Address3993 Lake Grove AveLake Oswego, OR 97035-4493

Phone(503) 636-0055

Organization SubpartNo

Authorized OfficialRyan RandolPresident · (541) 671-3716

Enumeration DateMarch 25, 2015

✔ NPI 1003200205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

3993 LAKE GROVE AVE, Lake Oswego, OR 97035

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JACK ALBERT HENRY D.M.D.

Dentist (General Practice)

3993 LAKE GROVE AVE
LAKE OSWEGO, OR 97035

Clackamas County (503) 636-0055

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Randol Dds PC's NPI number?

The NPI number for Ryan Randol Dds PC is 1003200205. It was assigned to this organization in the NPPES registry on March 25, 2015.

Where is Ryan Randol Dds PC located?

Ryan Randol Dds PC is located at 3993 Lake Grove Ave, Lake Oswego, OR 97035. The listed phone number is (503) 636-0055.

What is Ryan Randol Dds PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Ryan Randol Dds PC was last updated on March 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.