# RANDALL I. FURMAN, DDS, PLC

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

## Provider details

- **NPI number:** 1689129215
- **Authorized official:** DR. RANDALL I FURMAN DDS (OWNER/DENTIST)
- **Authorized official phone:** (757) 468-4684

## Contact information

- **Practice address:** 879 LYNNHAVEN PKWY, SUITE 109, VIRGINIA BEACH, VA 23452-7270
- **Practice address phone:** (757) 468-4684
- **Practice address fax:** (757) 689-2615
- **Mailing address:** 879 LYNNHAVEN PKWY, SUITE 109, VIRGINIA BEACH, VA 23452-7270
- **Mailing address phone:** (757) 468-4684
- **Mailing address fax:** (757) 689-2615

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401005228 | VA | Yes |

## Other

- **Enumeration date:** 08/24/2016
- **Last updated:** 08/24/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 542394 | — | VA |