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GD NJ RANDOLPH LLC
NPI 1003689233
Dentist - General Practice in Randolph, NJ

Active since October 31, 2023
2 W HANOVER AVE STE 201, RANDOLPH, NJ 07869(973) 895-5111 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gd Nj Randolph Llc NPPES

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

GD NJ RANDOLPH LLC (NPI 1003689233) is a healthcare organization registered as a general practice in Randolph, New Jersey and active in the NPI registry since October 2023. The organization lists Chad Hendricks, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1003689233
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGD NJ RANDOLPH LLC
Location Address2 W HANOVER AVE STE 201Randolph, NJ 07869-4222
Mailing Address2 W Hanover Ave Ste 201Randolph, NJ 07869-4222 · (973) 895-5111
Phone(973) 895-5111
Organization SubpartNo
Authorized OfficialChad HendricksCredentialing · (612) 859-0444
Enumeration DateOctober 31, 2023
NPPES CertifiedOctober 31, 2023
✔ NPI 1003689233 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.
2 W HANOVER AVE STE 201, Randolph, NJ 07869
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Gd Nj Randolph LLC's NPI number?

The NPI number for Gd Nj Randolph LLC is 1003689233. It was assigned to this organization in the NPPES registry on October 31, 2023.

Where is Gd Nj Randolph LLC located?

Gd Nj Randolph LLC is located at 2 W Hanover Ave Ste 201, Randolph, NJ 07869. The listed phone number is (973) 895-5111.

What is Gd Nj Randolph LLC'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 Gd Nj Randolph LLC was last updated on October 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.