Provider Demographics
NPI:1235140831
Name:HESTER, RANDALL E (DDS)
Entity Type:Individual
Prefix:MR
First Name:RANDALL
Middle Name:E
Last Name:HESTER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1221 S TRIMBLE ROAD BUILDING C
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44907-2200
Mailing Address - Country:US
Mailing Address - Phone:419-774-9900
Mailing Address - Fax:
Practice Address - Street 1:1221 S TRIMBLE ROAD BUILDING C
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44907-2200
Practice Address - Country:US
Practice Address - Phone:419-774-9900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30016071122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist