Provider Demographics
NPI:1811038540
Name:HADFIELD, RANDAL (DDS)
Entity Type:Individual
Prefix:DR
First Name:RANDAL
Middle Name:
Last Name:HADFIELD
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:RANDAL
Other - Middle Name:
Other - Last Name:HADFIELD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:3300 RUNNING CREEK WAY
Mailing Address - Street 2:BUILDING C SUITE 100
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-5563
Mailing Address - Country:US
Mailing Address - Phone:801-768-4072
Mailing Address - Fax:801-768-0828
Practice Address - Street 1:3300 N. RUNNING CREEK WAY
Practice Address - Street 2:BUILDING C SUITE 100
Practice Address - City:LEHI
Practice Address - State:UT
Practice Address - Zip Code:84043-5563
Practice Address - Country:US
Practice Address - Phone:801-768-4072
Practice Address - Fax:801-768-0828
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT3472171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice