BRYAN RANDOLPH DDS A PROFESSIONAL DENTAL CORPORATION
NPI 1164631776
Dentist in Folsom, CA

Q: What is Bryan Randolph Dds A Professional Dental Corporation's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since May 21, 2007

1621 CREEKSIDE DR, SUITE 101, FOLSOM, CA 95630(916) 984-6747(916) 984-6746 Get Directions Write a Review

NPPES record last updated: January 6, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Bryan Randolph Dds A Professional Dental Corporation NPPES

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

BRYAN RANDOLPH DDS A PROFESSIONAL DENTAL CORPORATION (NPI 1164631776) is a healthcare organization registered as a dentist in Folsom, California and active in the NPI registry since May 2007. The organization lists Bryan C Randolph, Owner, as its authorized official.

NPPES Registry Identity

NPI1164631776

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameBRYAN RANDOLPH DDS A PROFESSIONAL DENTAL CORPORATION

Location Address1621 CREEKSIDE DR, SUITE 101Folsom, CA 95630-3493

Mailing Address1621 Creekside Dr, Suite 101Folsom, CA 95630-3493 · (916) 984-6747 · Fax (916) 984-6746

Phone(916) 984-6747

Fax(916) 984-6746

Organization SubpartNo

Authorized OfficialBryan C RandolphOwner · (916) 984-6747

Enumeration DateMay 21, 2007

Last NPPES UpdateJanuary 6, 2014

✔ NPI 1164631776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 41779

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1621 CREEKSIDE DR, Folsom, CA 95630

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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 2

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

TIMOTHY E PHELAN, M.D A PROFESSIONAL MEDICAL CORPORATION

Specialist

1621 CREEKSIDE DR, 102
FOLSOM, CA 95630

Sacramento County (916) 984-7428

DR. TIMOTHY EDWIN PHELAN M.D.

Obstetrics & Gynecology

1621 CREEKSIDE DR, 102
FOLSOM, CA 95630

Sacramento County (916) 984-7428

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 Bryan Randolph Dds A Professional Dental Corporation's NPI number?

The NPI number for Bryan Randolph Dds A Professional Dental Corporation is 1164631776. It was assigned to this organization in the NPPES registry on May 21, 2007.

Where is Bryan Randolph Dds A Professional Dental Corporation located?

Bryan Randolph Dds A Professional Dental Corporation is located at 1621 Creekside Dr Suite 101, Folsom, CA 95630. The listed phone number is (916) 984-6747.

What is Bryan Randolph Dds A Professional Dental Corporation's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Bryan Randolph Dds A Professional Dental Corporation was last updated on January 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.