DR. GREGORY MARSHALL RANDOLPH D,D.S.
NPI 1801937222
Dentist - General Practice in Bloomington, IL
- Individual
- Male
- Dentist
- General Practice
- Accepts Insurance
About GREGORY RANDOLPH
This page provides the complete NPI Profile along with additional information for Gregory Randolph, a provider established in Bloomington, Illinois with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1801937222 assigned on February 2007. The practitioner's primary taxonomy code is 1223G0001X with license number 019-020416 (IL). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1801937222 Verify this NPI
- Provider Name
- DR. GREGORY MARSHALL RANDOLPH D,D.S.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 119 N WILLIAMSBURG DR BLOOMINGTON, IL 61704
- Location Phone
- (309) 663-1326
- Location Fax
- (309) 662-3551
- Mailing Address
- 119 N WILLIAMSBURG DR BLOOMINGTON, IL 61704
- Mailing Phone
- (309) 663-1326
- Mailing Fax
- (309) 662-3551
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-09-2007
- Last Update Date
- 04-03-2025
- Code Navigator
A dentist like Gregory Randolph is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
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
Dentist General Practice
- Taxonomy Code
- 1223G0001X
- Type
- Dental Providers
- License No.
- 019-020416
- License State
- IL
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Blue HSA Bronze - PPO
- Blue Protect - PPO
- Blue Saver Bronze - PPO
- Blue Standardized Statewide Silver EPO - EPO
- Blue Statewide Silver EPO - EPO
- Blue Value Gold - PPO
- Blue Value Silver - PPO
- Blue Access Gold for Business - PPO
- Blue Choice Platinum for Business - PPO
- Blue HSA Silver for Business - PPO
- BlueDental Copayment Q - PPO
- BlueDental Copayment QF - PPO
- Lone Star - Smile Now - PPO
- Smile Now Arizona - No Waiting Period PPO - PPO
- Smile Now Michigan - No Waiting Period PPO - PPO
- Smile Now Ohio - No Waiting Period PPO - PPO
- Smile Now Texas- No Waiting Period Plan - PPO
- Smile Now Utah - No Waiting Period PPO - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 370958381 | OTHER (01) | IL | TAX IDENTIFICATION NUMBER |
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
BLOOMINGTON, IL 61704
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1801937222, enumerated as an "individual" on February 09, 2007.
The provider is located at 119 N WILLIAMSBURG DR BLOOMINGTON, IL 61704 and the phone number is (309) 663-1326.
Dentist with taxonomy code 1223G0001X and a focus in General Practice.
The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter Health,. Please consult your insurance carrier or call the provider to verify.
