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RANDOLPH FAMILY DENTAL
NPI 1407163900
Dentist - General Practice in New Braunfels, TX

Active since September 03, 2010
651 S WALNUT AVE STE B, NEW BRAUNFELS, TX 78130(830) 625-1400(830) 625-9031 Get Directions Write a Review

NPPES record last updated: September 15, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Randolph Family Dental NPPES

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

RANDOLPH FAMILY DENTAL (NPI 1407163900) is a healthcare organization registered as a general practice in New Braunfels, Texas and active in the NPI registry since September 2010. The organization lists Fortuna Alapag Vardeman, President/owner, as its authorized official.

NPPES Registry Identity

NPI1407163900
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFORTUNA A. VARDEMAN, DDS, PC
Location Address651 S WALNUT AVE STE BNew Braunfels, TX 78130-5764
Mailing Address651 S Walnut Ave Ste BNew Braunfels, TX 78130-5764 · (830) 625-1400
Phone(830) 625-1400
Fax(830) 625-9031
Organization SubpartYesParent: Randolph Family Dental
Authorized OfficialFortuna Alapag VardemanPresident/owner · (830) 625-1400
Enumeration DateSeptember 3, 2010
Last NPPES UpdateSeptember 15, 2010
✔ NPI 1407163900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 18827
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.
651 S WALNUT AVE STE B, New Braunfels, TX 78130
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Other Names 1

Doing Business AsRandolph Family Dental

Other Identifiers 1

Medicaid091264401TX

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

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 Fortuna A. Vardeman, Dds, PC's NPI number?

The NPI number for Fortuna A. Vardeman, Dds, PC is 1407163900. It was assigned to this organization in the NPPES registry on September 3, 2010. The provider is doing business as Randolph Family Dental.

Where is Fortuna A. Vardeman, Dds, PC located?

Fortuna A. Vardeman, Dds, PC is located at 651 S Walnut Ave Ste B, New Braunfels, TX 78130. The listed phone number is (830) 625-1400.

What is Fortuna A. Vardeman, Dds, PC'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 Fortuna A. Vardeman, Dds, PC was last updated on September 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.