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

Chantelle Elizabaeth Randall, DDS

Individual provider General Practice Dentistry · NPI 1063185296

Chantelle Elizabaeth Randall, DDS is a General Practice Dentistry in Port Huron, Michigan. Licensed in Michigan. Registered with an NPI since 2021.

Licensed in
MI
In the registry since
2021
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1978 Holland Ave
Port Huron, MI 48060-1520
Phone: (810) 987-7511
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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 · Licence 2901601063 (MI)

Record details

NPI number1063185296
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 25, 2021
Last updated in NPPESJuly 26, 2021
Certification dateJuly 26, 2021
Mailing address1978 Holland Ave, Port Huron, MI 48060-1520

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