RANDOLPH FAMILY DENTAL LLC
NPI 1154711190
Dentist - General Practice in Randolph, WI

Q: What is Randolph Family Dental LLC's NPI number?

The NPI number for Randolph Family Dental LLC is 1154711190. It was assigned to this organization in the NPPES registry on January 29, 2015.

Q: What is Randolph Family Dental LLC's specialty?

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

Active since January 29, 2015

125 N HIGH ST, RANDOLPH, WI 53956(920) 326-3191 Get Directions Write a Review

NPPES record last updated: January 29, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Randolph Family Dental Llc NPPES

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

RANDOLPH FAMILY DENTAL LLC (NPI 1154711190) is a healthcare organization registered as a general practice in Randolph, Wisconsin and active in the NPI registry since January 2015. The organization lists Ross D Werner, Member, as its authorized official.

NPPES Registry Identity

NPI1154711190

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameRANDOLPH FAMILY DENTAL LLC

Location Address125 N HIGH STRandolph, WI 53956-1267

Mailing Address125 N High StRandolph, WI 53956-1267 · (920) 326-3191

Phone(920) 326-3191

Organization SubpartNo

Authorized OfficialRoss D WernerMember · (920) 326-3191

Enumeration DateJanuary 29, 2015

✔ NPI 1154711190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in WI · 3858

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.

125 N HIGH ST, Randolph, WI 53956

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Other Identifiers 1

Other1801955950WI · Individual Npi

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 2

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

DR. MYRIEL JAMAE WERNER DDS

Dentist (General Practice)

125 N HIGH ST
RANDOLPH, WI 53956

Dodge County (920) 326-3191

ROSS D WERNER DDS

Dentist

125 N HIGH ST
RANDOLPH, WI 53956

Dodge County (920) 326-3194

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 Randolph Family Dental LLC's NPI number?

The NPI number for Randolph Family Dental LLC is 1154711190. It was assigned to this organization in the NPPES registry on January 29, 2015.

Where is Randolph Family Dental LLC located?

Randolph Family Dental LLC is located at 125 N High St, Randolph, WI 53956. The listed phone number is (920) 326-3191.

What is Randolph Family Dental 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 Randolph Family Dental LLC was last updated on January 29, 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.