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Individual

DR. JOSEPH LINDSAY RANDALL III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
2441 21ST ST, FORT CAMPBELL, KY 42223-5582
(270) 798-8751
(270) 956-0266
Mailing address
1914 SHELBY AVE, NASHVILLE, TN 37206-2154
(256) 652-0697

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11547
TN
122300000X
Dentist
DN22838
FL

Other

Enumeration date
09/25/2017
Last updated
07/21/2022
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