Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Bryan Randolph DDS A Professional Dental Corporation

Dentist in Folsom, CA · enumerated 2007 · authorized official Bryan Randolph, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164631776

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Registry record

Entity type Organization (Type 2)

Legal business name Bryan Randolph DDS A Professional Dental Corporation

Practice address 1621 Creekside Dr, Suite 101, Folsom, CA, 95630

Phone (916) 984-6747

Fax (916) 984-6746

Enumeration date May 21, 2007

Last updated in NPPES Jan 6, 2014

Taxonomy & classification

122300000X Dentist Dental Providers · License 41779 (CA) Primary

Authorized official

Name Bryan Randolph

Title Owner

Phone (916) 984-6747

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Bryan Randolph DDS A Professional Dental Corporation located?

The practice location on file with NPPES is in Folsom, CA.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-01-06. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Timothy Phelan Obstetrics & Gynecology Physician · Folsom, CA NPI 1760543375 Timothy E Phelan, M.D A Professional Medical Corporation Specialist · Folsom, CA NPI 1659564730

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-01-06.