RANDALL W HALLIDAY DDS INC
NPI 1932488681
Dentist - Oral and Maxillofacial Surgery in San Bernardino, CA

Active since August 12, 2011
1697 N WATERMAN AVE, SAN BERNARDINO, CA 92404(909) 886-6845(909) 882-9804 Get Directions Write a Review

NPPES record last updated: August 12, 2011. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Randall W Halliday Dds Inc NPPES

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

RANDALL W HALLIDAY DDS INC (NPI 1932488681) is a healthcare organization registered as an oral and maxillofacial surgery in San Bernardino, California and active in the NPI registry since August 2011. The organization lists Randall W Halliday, President, as its authorized official.

NPPES Registry Identity

NPI1932488681
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameRANDALL W HALLIDAY DDS INC
Location Address1697 N WATERMAN AVESan Bernardino, CA 92404-5112
Mailing Address1697 N Waterman AveSan Bernardino, CA 92404-5112 · (909) 886-6845 · Fax (909) 882-9804
Fax(909) 882-9804
Organization SubpartNo
Authorized OfficialRandall W HallidayPresident · (909) 886-6845
Enumeration DateAugust 12, 2011
✔ NPI 1932488681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in CA · 22609
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1697 N WATERMAN AVE, San Bernardino, CA 92404

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 2

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

Dentist (General Practice)
1697 N WATERMAN AVE
SAN BERNARDINO, CA 92404
Dentist (Oral and Maxillofacial Pathology)
1697 N WATERMAN AVE
SAN BERNARDINO, CA 92404

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 Randall W Halliday Dds Inc's NPI number?

The NPI number for Randall W Halliday Dds Inc is 1932488681. It was assigned to this organization in the NPPES registry on August 12, 2011.

Where is Randall W Halliday Dds Inc located?

Randall W Halliday Dds Inc is located at 1697 N Waterman Ave, San Bernardino, CA 92404. The listed phone number is (909) 886-6845.

What is Randall W Halliday Dds Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Randall W Halliday Dds Inc was last updated on August 12, 2011. 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.