Provider Demographics
NPI:1104120013
Name:CATON, RANDALL B (DDS)
Entity type:Individual
Prefix:DR
First Name:RANDALL
Middle Name:B
Last Name:CATON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2121 NW 40TH TER
Mailing Address - Street 2:SUITE C
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-5813
Mailing Address - Country:US
Mailing Address - Phone:352-378-2525
Mailing Address - Fax:352-377-9772
Practice Address - Street 1:2121 NW 40TH TER
Practice Address - Street 2:SUITE C
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605-5813
Practice Address - Country:US
Practice Address - Phone:352-378-2525
Practice Address - Fax:352-377-9772
Is Sole Proprietor?:No
Enumeration Date:2011-01-06
Last Update Date:2011-01-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLDN42701223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery