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DR. GREGORY MARSHALL RANDOLPH D,D.S.
NPI 1801937222
Dentist - General Practice in Bloomington, IL

Active since February 09, 2007
119 N WILLIAMSBURG DR, BLOOMINGTON, IL 61704(309) 663-1326(309) 662-3551 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Gregory Marshall Randolph D,d.s. NPPES

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

DR. GREGORY MARSHALL RANDOLPH D,D.S. (NPI 1801937222) is an individual general practice provider in Bloomington, Illinois, licensed in Illinois (019-020416) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1801937222
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. GREGORY MARSHALL RANDOLPHCredential: D,D.S.
Location Address119 N WILLIAMSBURG DRBloomington, IL 61704-3528
Mailing Address119 N Williamsburg DrBloomington, IL 61704-3528 · (309) 663-1326 · Fax (309) 662-3551
Phone(309) 663-1326
Fax(309) 662-3551
Sole ProprietorYes
Enumeration DateFebruary 9, 2007
Last NPPES UpdateApril 3, 2025
✔ NPI 1801937222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019-020416
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.
119 N WILLIAMSBURG DR, Bloomington, IL 61704
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Other Identifiers 1

Other370958381IL · Tax Identification Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

GREGORY M RANDOLPH DDS & ASSOCIATES, LTD
Dentist (General Practice)
119 N WILLIAMSBURG DR
BLOOMINGTON, IL 61704
McLean County (309) 663-1326
JACK CHARLES MORKIN
Dentist
119 N WILLIAMSBURG DR
BLOOMINGTON, IL 61704
McLean County (309) 663-1326

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 Gregory Randolph's NPI number?

The NPI number for Gregory Randolph is 1801937222. It was assigned to this individual provider in the NPPES registry on February 9, 2007.

Where is Gregory Randolph located?

Gregory Randolph practices at 119 N Williamsburg Dr, Bloomington, IL 61704. The listed phone number is (309) 663-1326.

What is Gregory Randolph's specialty?

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

What insurance does Gregory Randolph accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Blue Cross and Blue Shield of Alabama and Florida Combined Life and 1 other insurer list Gregory Randolph 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 Gregory Randolph was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.