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DAVID F RANDOLPH DMD PA
NPI 1528189446
Dentist in Lake City, FL

Active since April 02, 2007
1779 SW BARNETT WAY STE 101, LAKE CITY, FL 32025(386) 755-4033(386) 755-2581 Get Directions Write a Review

NPPES record last updated: September 23, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About David F Randolph Dmd Pa NPPES

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

DAVID F RANDOLPH DMD PA (NPI 1528189446) is a healthcare organization registered as a dentist in Lake City, Florida and active in the NPI registry since April 2007. The organization lists David F Randolph, Dentist, as its authorized official.

NPPES Registry Identity

NPI1528189446
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameDAVID F RANDOLPH DMD PA
Location Address1779 SW BARNETT WAY STE 101Lake City, FL 32025-6957
Mailing Address1779 Sw Barnett Way Ste 101Lake City, FL 32025-6957 · (386) 755-4033 · Fax (386) 755-2581
Phone(386) 755-4033
Fax(386) 755-2581
Organization SubpartNo
Authorized OfficialDavid F RandolphDentist · (386) 755-4033
Enumeration DateApril 2, 2007
Last NPPES UpdateSeptember 23, 2009
✔ NPI 1528189446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in FL · 9899
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.
1779 SW BARNETT WAY STE 101, Lake City, FL 32025
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Other Identifiers 1

Other60390FL · Blue Cross Blue Shield

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.

DR. DAVID F RANDOLPH DMD
Dentist
1779 SW BARNETT WAY STE 101
LAKE CITY, FL 32025
Columbia County (286) 755-4033

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 David F Randolph Dmd PA's NPI number?

The NPI number for David F Randolph Dmd PA is 1528189446. It was assigned to this organization in the NPPES registry on April 2, 2007.

Where is David F Randolph Dmd PA located?

David F Randolph Dmd PA is located at 1779 SW Barnett Way Ste 101, Lake City, FL 32025. The listed phone number is (386) 755-4033.

What is David F Randolph Dmd PA'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 David F Randolph Dmd PA was last updated on September 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.