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

Gregory M Randolph DDS & Associates, Ltd

Organization General Practice Dentistry · NPI 1104639004

Gregory M Randolph DDS & Associates, Ltd is a General Practice Dentistry in Bloomington, Illinois. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

119 N Williamsburg Dr
Bloomington, IL 61704-3528
Phone: (309) 663-1326
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1104639004
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jenny Garcia-Rocha — Sr Credentialing Team Lead · (972) 869-3789
Other names Randolph & Associates Family Dentistry; Randolph & Associates Family Dentistry
NPI enumeratedJanuary 27, 2025
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025
Mailing address119 N Williamsburg Dr, Bloomington, IL 61704-3528

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