National Provider Identifier
Randolph L Mitchell, DMD
Randolph L Mitchell, DMD is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Lyons, NY and a listed phone number of (315) 946-6511.
Profile Overview
- NPI
- 1730184334
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- June 20, 2005
- Last Updated
- July 08, 2007
Practice Location
- 47 William St
- Lyons, NY 14489-1544
Phone: (315) 946-6511
Specialties
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1730184334
- Entity Type
- Individual
- Last Name
- Mitchell
- First Name
- Randolph
- Middle Name
- L
- Name Prefix
- Dr.
- Credential
- DMD
- Mailing Street Address
- 47 William St
- Mailing City
- Lyons
- Mailing State
- NY
- Mailing ZIP Code
- 14489-1544
- Mailing Country
- US
- Mailing Phone
- (315) 946-6511
- Mailing Fax
- (315) 946-6483
- Practice Street Address
- 47 William St
- Practice City
- Lyons
- Practice State
- NY
- Practice ZIP Code
- 14489-1544
- Practice Country
- US
- Practice Phone
- (315) 946-6511
- Practice Fax
- (315) 946-6483
- Enumeration Date
- June 20, 2005
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X)