Randy Michael Halstrom in Sartell - Dentist

Randy Michael Halstrom - NPI 1013185883

Randy Michael Halstrom is a Dentist in Sartell, Minnesota. Randy Michael Halstrom practices all healthcare services and medical treatments related to Dentist. The NPI Number for Randy Michael Halstrom is 1013185883. The last update date is 2008-02-14.

Randy Michael Halstrom's current location address is 4572 Pine Point Rd, Sartell, Minnesota. You can contact this provider via phone number 3203670389. The mailing address for Randy Michael Halstrom is 4572 Pine Point Rd, Sartell, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Randy Michael Halstrom
Address 4572 Pine Point Rd, Sartell, Minnesota
Phone Number 3203670389
Fax Number
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1013185883
Provider Enumeration Date 2008-02-14
Last Updated Date 2008-02-14

Provider Mailing Address Detail

Address 4572 Pine Point Rd
City Sartell
State Minnesota (MN)
Post Code 563779748
Phone Number 3203670389
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No D7550
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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FAQs about Randy Michael Halstrom

What is the Randy Michael Halstrom's unique identification number?

The Randy Michael Halstrom has been assigned the NPI (National Provider Identifier) Number 1013185883 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Randy Michael Halstrom is geographically located?

The Randy Michael Halstrom is physically situated at the following location: 4572 Pine Point Rd, Sartell, MN, 563779748.

What is Randy Michael Halstrom's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Randy Michael Halstrom is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1013185883 to Randy Michael Halstrom?

The Centers for Medicare & Medicaid Services originally issued the 1013185883 to Randy Michael Halstrom on 2008-02-14.

As of what date were the details pertaining to Randy Michael Halstrom last refreshed?

The information related to the Randy Michael Halstrom, including its address, specialty, and other relevant details, was last updated on 2008-02-14.

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