Randy Lenderman DDS PLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3563 Issued in AR

Legal business name

RANDY LENDERMAN DDS PLC

Practice address

2425 Prince St Ste 1
Conway, AR 72034-3701

Phone

(501) 327-3800

Fax

(501) 327-5657

NPI assigned

Mar 15, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. William R Lenderman, DDS

Title

Ownder/Dentist

Phone

(501) 327-3800

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521072000000",
    "number": "1821591876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 PRINCE ST STE 1",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343701",
            "telephone_number": "501-327-3800",
            "fax_number": "501-327-5657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 PRINCE ST STE 1",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343701",
            "telephone_number": "501-327-3800",
            "fax_number": "501-327-5657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDY LENDERMAN DDS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-15",
        "last_updated": "2018-03-15",
        "status": "A",
        "authorized_official_last_name": "LENDERMAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNDER/DENTIST",
        "authorized_official_telephone_number": "501-327-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis N Ralls
• Alfredo Ramirez, CMP
• Judith Sarai Ramirez
• Sarai Ramirez, RDN
• Amanda Ramsey, RN
• Herschel Dean Raney Jr., M.D.
• Manasa Ranginani, MD
• Elizabeth Rankin, MS, CCC-SLP
• Neelima Rao, MD
• Anna Ratliff

• All providers in Conway, AR
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.