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CHANTELLE ELIZABAETH RANDALL DDS
NPI 1063185296
Dentist - General Practice in Port Huron, MI

Active since July 25, 2021
1978 HOLLAND AVE, PORT HURON, MI 48060(810) 987-7511 Get Directions Write a Review

NPPES record last updated: July 26, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 26, 2021, Jul 25, 2021 (2 updates tracked since 2021).

About Chantelle Elizabaeth Randall Dds NPPES

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

CHANTELLE ELIZABAETH RANDALL DDS (NPI 1063185296) is an individual general practice provider in Port Huron, Michigan, licensed in Michigan (2901601063) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1063185296
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameCHANTELLE ELIZABAETH RANDALLCredential: DDS
Location Address1978 HOLLAND AVEPort Huron, MI 48060-1520
Mailing Address1978 Holland AvePort Huron, MI 48060-1520 · (810) 987-7511
Phone(810) 987-7511
Sole ProprietorNo
Enumeration DateJuly 25, 2021
Last NPPES UpdateJuly 26, 20212 updates tracked since enumeration
NPPES CertifiedJuly 26, 2021
✔ NPI 1063185296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MI · 2901601063
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.
1978 HOLLAND AVE, Port Huron, MI 48060
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Michigan.Insurance ›

Other Providers at the Same Location NPPES 3

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

JILL GILLHOOLEY BRION DDS
Dentist (General Practice)
1978 HOLLAND AVE
PORT HURON, MI 48060
St. Clair County (810) 987-7511
RALPH MAXWELL GILLHOOLEY DDS
Dentist (General Practice)
1978 HOLLAND AVE
PORT HURON, MI 48060
St. Clair County (810) 987-7511
JILL G BRION DDS PLLC
Dentist (General Practice)
1978 HOLLAND AVE
PORT HURON, MI 48060
St. Clair County (810) 987-7511

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 Chantelle Randall's NPI number?

The NPI number for Chantelle Randall is 1063185296. It was assigned to this individual provider in the NPPES registry on July 25, 2021.

Where is Chantelle Randall located?

Chantelle Randall practices at 1978 Holland Ave, Port Huron, MI 48060. The listed phone number is (810) 987-7511.

What is Chantelle Randall's specialty?

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

What insurance does Chantelle Randall accept?

Health plans from Delta Dental of Michigan list Chantelle Randall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Chantelle Randall was last updated on July 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.