OrganizationActive
Randolph Family Dental LLC
NPI 1154711190 · General Practice Dentistry · Randolph, WI
Randolph Family Dental LLC is a General Practice Dentistry organization in Randolph, WI (NPI 1154711190).
Provider details
- NPI number
- 1154711190
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Ross Werner, Member(920) 326-3191
- License
- 3858 (WI)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
125 N High St
Randolph, WI 53956-1267
Phone: (920) 326-3191
Street-level locationGet directions
Mailing address
125 N High St
Randolph, WI 53956-1267
Registry dates
- Enumerated
- 2015-01-29
- Last updated
- 2015-01-29
Frequently asked questions
- What is Randolph Family Dental LLC's NPI number?
- Randolph Family Dental LLC's National Provider Identifier (NPI) is 1154711190, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Randolph Family Dental LLC?
- Randolph Family Dental LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Randolph Family Dental LLC located?
- Randolph Family Dental LLC's practice location on file with NPPES is 125 N High St, Randolph, WI 53956-1267.
- What is Randolph Family Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Randolph Family Dental LLC is (920) 326-3191.
- Who is the authorized official for Randolph Family Dental LLC?
- The authorized official listed on Randolph Family Dental LLC's NPPES record is Ross Werner, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Randolph Family Dental LLC's NPI active?
- Yes — Randolph Family Dental LLC's NPI (1154711190) is active in the NPPES registry as of the last update on 2015-01-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.