MEDICARE: DR. RANDALL THOMAS HEDRICK D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223E0200X	Endodontics	9791	FL

General Provider Information

NPI Number	:	1811918667
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RANDALL THOMAS HEDRICK D.D.S.

Provider Business Mailing Address
First Line	:	4957 38TH AVE N
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33710-2174
Country	:	US
Telephone Number	:	727-521-2285
Fax Number	:	727-521-6509

Provider Business Practice Location Address
First Line	:	4957 38TH AVE N
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33710-2174
Country	:	US
Telephone Number	:	727-521-2285
Fax Number	:	727-521-6509

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1114914249 — DR. DAVID ALAN LEVINE MD
Practice Location Address:

4957 38TH AVE N , STE B
ST PETERSBURG, FL
33710-2174

Practice Phone: 727-522-8878
Practice Fax: 727-521-1192

1083684153 — KAVITA BAKTHAVATSALAM RAO M.D.
Practice Location Address:

4957 38TH AVENUE NORTH , SUITE C
SAINT PETERSBURG, FL
33710-2174

Practice Phone: 727-525-0900
Practice Fax: 727-525-9500

1366552234 — DR. BRIAN MARTIN KAGAN MD
Practice Location Address:

4957 38TH AVE N , SUITE A
ST PETERSBURG, FL
33710-2174

Practice Phone: 727-526-7420
Practice Fax: 727-525-0675

1285736934 — DR. HERMAN ZAHAROWITZ M.D.
Practice Location Address:

4957 38TH AVE N STE C
ST PETERSBURG, FL
33710-2174

Practice Phone: 727-528-8992
Practice Fax:

1306945811 — BRIAN M KAGAN MD PA
Practice Location Address:

4957 38TH AVE N , SUITE A
ST PETERSBURG, FL
33710-2174

Practice Phone: 727-526-7420
Practice Fax: 727-525-0675

1114155355 — GULF COAST INTERNIST, LLC.
Practice Location Address:

4957 38TH AVE N , SUITE C
SAINT PETERSBURG, FL
33710-2174

Practice Phone: 727-525-0900
Practice Fax: 727-525-9500

Directions to “ DR. RANDALL THOMAS HEDRICK D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.