# RANDLE T. CARR, DDS, P.S.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053326538
- **Authorized official:** DR. RANDLE T CARR DDS (PRESIDENT)
- **Authorized official phone:** (360) 734-9926

## Contact information

- **Practice address:** 3400 SQUALICUM PKWY, SUITE 107, BELLINGHAM, WA 98225-1933
- **Practice address phone:** (360) 734-9926
- **Practice address fax:** (360) 734-0855
- **Mailing address:** 3400 SQUALICUM PKWY, SUITE 107, BELLINGHAM, WA 98225-1933
- **Mailing address phone:** (360) 734-9926
- **Mailing address fax:** (360) 734-0855

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE00008137 | WA | Yes |

## Other

- **Enumeration date:** 07/30/2006
- **Last updated:** 05/14/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5038815 | — | WA |
| 01 | — | 602-330-302 | WA UBI NUMBER | WA |