EL SHADDAI DENTAL
NPI 1336266980
Dentist - General Practice in Randolph, MA

Active since March 26, 2007
1134 N MAIN ST, RANDOLPH, MA 02368(781) 986-8800(781) 986-1600 Get Directions Write a Review

NPPES record last updated: July 14, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About El Shaddai Dental NPPES

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

EL SHADDAI DENTAL (NPI 1336266980) is a healthcare organization registered as a general practice in Randolph, Massachusetts and active in the NPI registry since March 2007. The organization lists Anthony Olatunji, Owner, as its authorized official.

NPPES Registry Identity

NPI1336266980
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameEL SHADDAI DENTAL
Location Address1134 N MAIN STRandolph, MA 02368-2130
Mailing Address1134 N Main StRandolph, MA 02368-2130 · (781) 986-8800 · Fax (781) 986-1600
Fax(781) 986-1600
Organization SubpartNo
Authorized OfficialAnthony OlatunjiOwner · (781) 986-8800
Enumeration DateMarch 26, 2007
Last NPPES UpdateJuly 14, 2008
NPI 1336266980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MA · 19621
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.
1134 N MAIN ST, Randolph, MA 02368

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

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

Chiropractor (Rehabilitation)
1134 N MAIN ST
RANDOLPH, MA 02368

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 El Shaddai Dental's NPI number?

The NPI number for El Shaddai Dental is 1336266980. It was assigned to this organization in the NPPES registry on March 26, 2007.

Where is El Shaddai Dental located?

El Shaddai Dental is located at 1134 N Main St, Randolph, MA 02368. The listed phone number is (781) 986-8800.

What is El Shaddai Dental'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 El Shaddai Dental was last updated on July 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.