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Individual

DR. MARCUS KENNETH RANDALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
2835 NORTHPOINT BLVD STE 105, HIXSON, TN 37343-4862
(423) 877-3848
(423) 877-3726
Mailing address
2835 NORTHPOINT BLVD STE 105, HIXSON, TN 37343-4862
(423) 877-3848
(423) 877-3726

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
5980
AL
1223G0001X
General Practice Dentistry
Primary
9947
TN

Other

Enumeration date
04/11/2012
Last updated
03/22/2025
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