Provider Demographics
NPI:1033795042
Name:RANDOLD BINNS DMD PLLC
Entity Type:Organization
Organization Name:RANDOLD BINNS DMD PLLC
Other - Org Name:ADVANCED PROSTHODONTICS & IMPLANT ESTHETICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:RANDOLD
Authorized Official - Middle Name:AMETH
Authorized Official - Last Name:BINNS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:321-626-4909
Mailing Address - Street 1:4413 OUTER DR
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34112-6762
Mailing Address - Country:US
Mailing Address - Phone:239-775-2455
Mailing Address - Fax:
Practice Address - Street 1:4413 OUTER DR
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34112-6762
Practice Address - Country:US
Practice Address - Phone:239-775-2455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-20
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Single Specialty