DR. RANDY T,. MCGOWAN DMD
NPI 1285841627
Dentist - Oral and Maxillofacial Surgery in Amsterdam, NY

Active since May 16, 2007
80 LOCUST AVE, AMSTERDAM, NY 12010(519) 843-0382(518) 843-0355 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Randy T,. Mcgowan Dmd NPPES

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

DR. RANDY T,. MCGOWAN DMD (NPI 1285841627) is an individual oral and maxillofacial surgery provider in Amsterdam, New York, licensed in New York (037120) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1285841627
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. RANDY T,. MCGOWANCredential: DMD
Location Address80 LOCUST AVEAmsterdam, NY 12010-2623
Mailing Address80 Locust AveAmsterdam, NY 12010-2623 · (519) 843-0382 · Fax (518) 843-0355
Fax(518) 843-0355
Sole ProprietorYes
Enumeration DateMay 16, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1285841627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in NY · 037120
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

80 LOCUST AVE, Amsterdam, NY 12010

Other Identifiers 1

Medicaid01468464NY

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285841627, enumerated as an "individual" on May 16, 2007.

The provider is located at 80 LOCUST AVE AMSTERDAM, NY 12010 and the phone number is (519) 843-0382.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.