OrganizationActive
Randall O Duck DDS PA
NPI 1902084163 · Dental Clinic/Center · Winston Salem, NC
Randall O Duck DDS PA is a Dental Clinic/Center organization in Winston Salem, NC (NPI 1902084163).
Provider details
- NPI number
- 1902084163
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Randall Duck, President(336) 760-2500
- License
- 4630 (NC)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
3744 Vest Mill Rd
Winston Salem, NC 27103-2912
Phone: (336) 760-2501
Fax: (336) 760-2192
Street-level locationGet directions
Mailing address
3744 Vest Mill Rd
Winston Salem, NC 27103-2912
Registry dates
- Enumerated
- 2008-02-09
- Last updated
- 2008-02-09
Frequently asked questions
- What is Randall O Duck DDS PA's NPI number?
- Randall O Duck DDS PA's National Provider Identifier (NPI) is 1902084163, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Randall O Duck DDS PA?
- Randall O Duck DDS PA is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Randall O Duck DDS PA located?
- Randall O Duck DDS PA's practice location on file with NPPES is 3744 Vest Mill Rd, Winston Salem, NC 27103-2912.
- What is Randall O Duck DDS PA's phone number?
- The practice phone number listed in the NPPES registry for Randall O Duck DDS PA is (336) 760-2501.
- Who is the authorized official for Randall O Duck DDS PA?
- The authorized official listed on Randall O Duck DDS PA's NPPES record is Randall Duck, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Randall O Duck DDS PA's NPI active?
- Yes — Randall O Duck DDS PA's NPI (1902084163) is active in the NPPES registry as of the last update on 2008-02-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.