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Deactivated NPI 1225089329 Deactivated / Inactive NPI Male Practitioner

Dr. John Randall , DDS

Dentist - General Practice • Clio, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Randall has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 13, 2006
NPI Deactivation Date August 10, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. John Randall, DDS was a registered Dentist - General Practice practicing in Clio, MI. Throughout an active medical career spanning 11 years, Dr. Randall provided care at the practice location at 4279 W VIENNA RD until profile deactivation on 2017-08-10.

Practice Location & Contact Primary Location

Practice Address

4279 W Vienna Rd

Clio, MI 484209440

Telephone 8106872000
Fax 8106871956
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Clio, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.0 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
9 Specialists

Practicing in Clio, MI (4360 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MI 14128

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Ronald Wright , DDS

Dentist - General Practice

NPI 1326098278

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 10, 2017

Record deactivated on August 10, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 4279 W VIENNA RD, CLIO, MI 484209440 (Tel: 8106872000)

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Updated Business Mailing Address July 08, 2007

Registered at 4279 W VIENNA RD, CLIO, MI 484209440 (Tel: 8106872000)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN RANDALL, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #14128 in MI)

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Initial NPI Registration & Enumeration May 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225089329
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 13, 2006
Last Update: July 08, 2007
Deactivation Date: August 10, 2017

Mailing Address

4279 W Vienna Rd

Clio, MI 484209440

Phone: 8106872000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.