Dr. Gregory Marshall Randolph
D,D.S. | Dentist
119 N Williamsburg Dr, Bloomington
Illinois, 61704-3528
309-663-1326 309-662-3551
Maps & DirectionsDr. Gregory Marshall Randolph is a Bloomington, Illinois based Dentist who is specialized in
General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Gregory Marshall Randolph is
019-020416 for General Practice Dentistry in Illinois. His current practice location is
119 N Williamsburg Dr, Bloomington. Patients can reach him at
309-663-1326.
Dr. Gregory Marshall Randolph is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Gregory Marshall Randolph speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Gregory Marshall Randolph |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | D,D.S. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 119 N Williamsburg Dr, Bloomington,
Illinois, 61704-3528 |
| Phone: | 309-663-1326 |
| Fax: | 309-662-3551 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1801937222 |
| NPI Enumeration Date: | 09 Feb, 2007 |
| NPI Last Update On: | 03 Apr, 2025 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Gregory Marshall Randolph are as mentioned below.
| License Number | Specialization | State | Status | |
| 019-020416 | General Practice Dentistry | Illinois | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Gregory Marshall Randolph such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 370958381 | Other | Illinois | TAX IDENTIFICATION NUMBER |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 119 N Williamsburg Dr,
Bloomington, Illinois |
| Zip: | 61704-3528 |
| Phone Number: | 309-663-1326 |
| Fax Number: | 309-662-3551 |
Patients can reach Dr. Gregory Marshall Randolph at
119 N Williamsburg Dr, Bloomington, Illinois or can
call to book an appointment on 309-663-1326.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.