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RANDOLPH EVANS FAMILY DENTISTRY
NPI 1356725428
Clinic/Center - Dental in Martinsburg, WV

Active since July 17, 2015
22 SIERRA DR, MARTINSBURG, WV 25403(304) 263-3131 Get Directions Write a Review

NPPES record last updated: July 17, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Dental

About RANDOLPH EVANS FAMILY DENTISTRY

This page provides the complete NPI Profile along with additional information for Randolph Evans Family Dentistry, a provider established in Martinsburg, West Virginia operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1356725428 assigned on July 2015. The practitioner's primary taxonomy code is 261QD0000X with license number 4175 (WV). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Dr. Randolph Evans (Dentist/owner)

NPI
1356725428 Verify this NPI
Provider Name
RANDOLPH EVANS FAMILY DENTISTRY
Entity Type
Organization
Location Address
22 SIERRA DR MARTINSBURG, WV 25403
Location Phone
(304) 263-3131
Mailing Address
23 LITCHFIELD LN E MARTINSBURG, WV 25405
Mailing Phone
(304) 203-8956
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-17-2015
Last Update Date
07-17-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities
License No.
4175
License State
WV

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. RANDOLPH EVANS

Authorized Official Title
DENTIST/OWNER
Authorized Official Phone
(304) 263-3131

Reviews for RANDOLPH EVANS FAMILY DENTISTRY

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

DR. BRANDON SMITH D.D.S.
Dentist
22 SIERRA DR
MARTINSBURG, WV 25403
Berkeley County (304) 263-3131
TUSCARORA DENTISTRY PLLC
Clinic/Center (Dental)
22 SIERRA DR
MARTINSBURG, WV 25403
Berkeley County (304) 263-3131
DR. STEPHANIE GRACE MARNIC DDS
Dentist
22 SIERRA DR
MARTINSBURG, WV 25403
Berkeley County (304) 451-5979

Frequently Asked Questions

What is RANDOLPH EVANS FAMILY DENTISTRY's NPI number?

The NPI number assigned to this healthcare provider is 1356725428, enumerated as an "organization" on July 17, 2015.

Where is the provider located?

The provider is located at 22 SIERRA DR MARTINSBURG, WV 25403 and the phone number is (304) 263-3131.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.