Greene, Randolph

Greene, Randolph is an sole proprietor health care provider with primary practice located at 303 S Colorado St , Salem VA 24153-4948. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / General Practice is his primary health care specialty. Greene, Randolph can be contacted via phone (540) 300-6376.

Contact Information

Primary practice address
303 S Colorado St Salem VA 24153-4948
Phone: (540) 300-6376
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 0401417510 Virginia
Dental Providers / Dentist 122300000X -0401417510 Virginia

Profile Details

NPI number 1497325583
LBN Legal business name Greene, Randolph
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2021
Last updated Sep 12th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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