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RANDOLPH DENTAL GROUP LLC
NPI 1801440656
Dentist - General Practice in Randolph, MA

Active since July 30, 2019
96 N MAIN ST, RANDOLPH, MA 02368(781) 963-3800(781) 963-6906 Get Directions Write a Review

NPPES record last updated: July 30, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Randolph Dental Group Llc NPPES

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

RANDOLPH DENTAL GROUP LLC (NPI 1801440656) is a healthcare organization registered as a general practice in Randolph, Massachusetts and active in the NPI registry since July 2019. The organization lists Vicki J Kenney, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1801440656
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameRANDOLPH DENTAL GROUP LLC
Location Address96 N MAIN STRandolph, MA 02368-4606
Mailing Address500 Chapman St Unit 201Canton, MA 02021-2040 · (781) 562-0457
Phone(781) 963-3800
Fax(781) 963-6906
Organization SubpartNo
Authorized OfficialVicki J KenneyCredentialing Specialist · (781) 562-0457
Enumeration DateJuly 30, 2019
✔ NPI 1801440656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
96 N MAIN ST, Randolph, MA 02368
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 3

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

ISABELLA FERNANDEZ DMD
Dentist
96 N MAIN ST
RANDOLPH, MA 02368
Norfolk County (781) 963-8600
DANIELA TOLI SHKURTI
Dentist
96 N MAIN ST
RANDOLPH, MA 02368
Norfolk County (781) 805-3001
MALLORY KATHERINE VUKOVIC
Dentist
96 N MAIN ST
RANDOLPH, MA 02368
Norfolk County (781) 805-3001

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 Randolph Dental Group LLC's NPI number?

The NPI number for Randolph Dental Group LLC is 1801440656. It was assigned to this organization in the NPPES registry on July 30, 2019.

Where is Randolph Dental Group LLC located?

Randolph Dental Group LLC is located at 96 N Main St, Randolph, MA 02368. The listed phone number is (781) 963-3800.

What is Randolph Dental Group LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Randolph Dental Group LLC accept?

Health plans from UnitedHealthcare list Randolph Dental Group LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Randolph Dental Group LLC was last updated on July 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.