Dr. Jay Scott Randell
Dental Public Health Dentist - General Practice
530 Nw 27th St
Corvallis
, Oregon 97330-5223
Dr. Jay Scott Randell
Dental Public Health Dentist - General Practice
530 Nw 27th St
Corvallis
, Oregon 97330-5223
(541) 257-2007
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About
Features
Specialties
- Dental Public Health
- General Practice
Languages spoken
- English
Location
First Address
- Dr. Jay Scott Randell
- 1112 Nw Circle Blvd
- Corvallis, OR
- Zip : 97330-1462
- Fax : (541) 257-2007
- Phone : (541) 257-2006
Second Address
- Dr. Jay Scott Randell
- 530 Nw 27th St
- Corvallis, OR
- Zip : 97330-5223
- Fax : (541) 766-6186
- Phone : (541) 766-0123
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0001X | Dental Public Health | D11182 | OR |
| N | 1223G0001X | General Practice | 044249 | NY |
| N | 213EG0000X | General Practice | 044249 | NY |
| N | 1223G0001X | General Practice | 13269 | FL |
| N | 213EG0000X | General Practice | 13269 | FL |
| N | 1223G0001X | General Practice | 202368 | CO |
| N | 213EG0000X | General Practice | 202368 | CO |
National Provider Identifier
| NPI | 1437231503 |
|---|---|
| Provider Name | Dr. Jay Scott Randell |
| First Address | Corvallis, OR 97330-1462 |
| Second Address | Corvallis, OR 97330-5223 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/10/2006 |
| Last Update Date | 31/12/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.