Walter Randy Ridgway in Huntsville - Dentist
Walter Randy Ridgway - NPI 1508967415
Walter Randy Ridgway is a Dentist in Huntsville, Arkansas. Walter Randy Ridgway practices all healthcare services and medical treatments related to Dentist. The NPI Number for Walter Randy Ridgway is 1508967415. The last update date is 2007-07-08.
Walter Randy Ridgway's current location address is P.o. Box 605, Huntsville, Arkansas. You can contact this provider via phone number 4797386920 and fax number 4797382957. The mailing address for Walter Randy Ridgway is P.o. Box 605, Huntsville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Walter Randy Ridgway |
|---|---|
| Address | P.o. Box 605, Huntsville, Arkansas |
| Phone Number | 4797386920 |
| Fax Number | 4797382957 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1508967415 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | P.o. Box 605 |
|---|---|
| City | Huntsville |
| State | Arkansas (AR) |
| Post Code | 727400605 |
| Phone Number | 4797386920 |
| Fax Number | 4797382957 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 2412 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code issued to Walter Randy Ridgway by the Centers for Medicare & Medicaid Services?
The Walter Randy Ridgway has been assigned the NPI (National Provider Identifier) 1508967415 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Walter Randy Ridgway is located?
The Walter Randy Ridgway is situated at the following address: P.O. Box 605, Huntsville, AR, 727400605.
What is Walter Randy Ridgway's area of expertise and its corresponding taxonomy classification?
The Walter Randy Ridgway's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
When was the Walter Randy Ridgway's 1508967415 issued?
The Walter Randy Ridgway's 1508967415 was issued on 2006-09-25.
When was the Walter Randy Ridgway's information last updated?
The Walter Randy Ridgway's information was last updated on 2007-07-08.