# RANDLE DENTAL CLINIC

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

## Provider details

- **NPI number:** 1801143110
- **Authorized official:** DR. RYAN LEMERT DMD (DENTIST)
- **Authorized official phone:** (360) 497-5741

## Contact information

- **Practice address:** 10109 US HWY 12, RANDLE, WA 98377
- **Practice address phone:** (360) 497-5741
- **Practice address fax:** (360) 497-5744
- **Mailing address:** P.O. BOX 248, RANDLE, WA 98377-0248
- **Mailing address phone:** (360) 497-5741
- **Mailing address fax:** (360) 497-5744

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |
| 261QD0000X | Dental Clinic/Center | DE60298156 | WA | — |

## Other

- **Enumeration date:** 08/07/2012
- **Last updated:** 04/02/2026