Individual
DR. RANDOL OLEN WOOLBRIGHT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
214 E MCCLAIN AVE, SCOTTSBURG, IN 47170-1824
(812) 752-7745
(812) 752-5543
Mailing address
214 E MCCLAIN AVE, SCOTTSBURG, IN 47170-1824
(812) 752-7745
(812) 752-5543
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008633A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100221370A
—
IN
Enumeration date
03/21/2007
Last updated
07/08/2007
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