OrganizationActive
Bryan Randolph DDS a Professional Dental Corporation
NPI 1164631776 · Dentist · Folsom, CA
Bryan Randolph DDS a Professional Dental Corporation is a Dentist organization in Folsom, CA (NPI 1164631776).
Provider details
- NPI number
- 1164631776
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Bryan Randolph, Owner(916) 984-6747
- License
- 41779 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1621 Creekside Dr
Suite 101
Folsom, CA 95630-3493
Phone: (916) 984-6747
Fax: (916) 984-6746
Street-level locationGet directions
Mailing address
1621 Creekside Dr
Folsom, CA 95630-3493
Registry dates
- Enumerated
- 2007-05-21
- Last updated
- 2014-01-06
Frequently asked questions
- What is Bryan Randolph DDS a Professional Dental Corporation's NPI number?
- Bryan Randolph DDS a Professional Dental Corporation's National Provider Identifier (NPI) is 1164631776, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bryan Randolph DDS a Professional Dental Corporation?
- Bryan Randolph DDS a Professional Dental Corporation is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Bryan Randolph DDS a Professional Dental Corporation located?
- Bryan Randolph DDS a Professional Dental Corporation's practice location on file with NPPES is 1621 Creekside Dr, Folsom, CA 95630-3493.
- What is Bryan Randolph DDS a Professional Dental Corporation's phone number?
- The practice phone number listed in the NPPES registry for Bryan Randolph DDS a Professional Dental Corporation is (916) 984-6747.
- Who is the authorized official for Bryan Randolph DDS a Professional Dental Corporation?
- The authorized official listed on Bryan Randolph DDS a Professional Dental Corporation's NPPES record is Bryan Randolph, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bryan Randolph DDS a Professional Dental Corporation's NPI active?
- Yes — Bryan Randolph DDS a Professional Dental Corporation's NPI (1164631776) is active in the NPPES registry as of the last update on 2014-01-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.