Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bryan Randolph DDS a Professional Dental Corp

Organization Dental Clinic/Center · NPI 1568884229

Bryan Randolph DDS a Professional Dental Corp is a Dental Clinic/Center in Sacramento, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1954 Del Paso Rd Ste 101
Sacramento, CA 95834-7706
Phone: (916) 419-0020
Fax: (916) 419-6787
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 41779 (CA)

Record details

NPI number1568884229
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bryan Randolph — Owner/Dentist · (916) 419-0020
Other names The Tooth Station
NPI enumeratedJanuary 15, 2014
Last updated in NPPESJanuary 15, 2014
Mailing address1954 Del Paso Rd, Suite 101, Sacramento, CA 95834-7706

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