| Richard J Rand Jr Dmd Pa | |
|
428 E Olympia Ave Punta Gorda FL 33950-3836 | |
| (941) 639-8030 | |
| (941) 639-1901 |
| Full Name | Richard J Rand Jr Dmd Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 428 E Olympia Ave, Punta Gorda, Florida |
| Authorized Official Name and Position | Richard Joseph Rand (PRESIDENT) |
| Authorized Official Contact | 9416398030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard J Rand Jr Dmd Pa 428 E Olympia Ave Punta Gorda FL 33950-3836 Ph: (941) 639-8030 | Richard J Rand Jr Dmd Pa 428 E Olympia Ave Punta Gorda FL 33950-3836 Ph: (941) 639-8030 |
| NPI Number | 1215068861 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215068861 | NPI | - | NPPES |
| 609637 | Other | UNITED CONCORDIA | |
| Z09609 | Other | MA | BCBS MA |
| 66372 | Other | FL | BCBS FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN6965 (Florida) | Primary |
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