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

Dr. Randall Jerald Phillips, DMD

Individual provider Dentist · NPI 1104083997

Dr. Randall Jerald Phillips, DMD is a Dentist in Gainesville, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2008
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

516 Candler St
Gainesville, GA 30501-3332
Phone: (770) 536-1222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN010821 (GA)

Record details

NPI number1104083997
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedMay 20, 2008
Last updated in NPPESMay 20, 2008
Mailing address516 Candler St, Gainesville, GA 30501-3332

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