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Jay Randell, DMD — NPI 1437231503, Corvallis, OR | NPI Central

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NPI 1437231503

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Jay Randell, DMD

NPI 1437231503 · Public Health Dentistry · Corvallis, OR

Provider details

NPI number: 1437231503
Entity type: Individual
Primary specialty: Public Health DentistryDental Providers
Credential: DMD
Sex: Male
Sole proprietor: No
License: 13269 (FL)

Specialties & taxonomies

Public Health DentistryPrimary1223D0001XLicense D11182 (OR)
Dental Providers
General Practice Dentistry1223G0001XLicense 13269 (FL)
Dental Providers
General Practice Dentistry1223G0001XLicense 202368 (CO)
Dental Providers
General Practice Dentistry1223G0001XLicense 044249 (NY)
Dental Providers

Practice location

530 Nw 27th St

Corvallis, OR 97330-5223

Phone: (541) 766-0123

Fax: (541) 766-6186

Approximate (ZIP-level) locationGet directions

More OR providers

Mailing address

1112 Nw Circle Blvd

Corvallis, OR 97330-1462

Additional practice locations (1)

1112 Nw Circle Blvd
Corvallis, OR 97330-1462
Phone: (541) 257-2006
Fax: (541) 257-2007

Registry dates

Enumerated: 2006-10-19
Last updated: 2019-12-31
Certified: 2019-12-31

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.