Randy D Wooton in Medford - Dentist

Randy D Wooton - NPI 1497889679

Randy D Wooton is a Dentist in Medford, Oregon. Randy D Wooton practices all healthcare services and medical treatments related to Dentist. The NPI Number for Randy D Wooton is 1497889679. The last update date is 2007-07-08.

Randy D Wooton's current location address is 1123 E Main St, Medford, Oregon. You can contact this provider via phone number 5417733422 and fax number 5417792250. The mailing address for Randy D Wooton is 1123 E Main St, Medford, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Randy D Wooton
Address 1123 E Main St, Medford, Oregon
Phone Number 5417733422
Fax Number 5417792250
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1497889679
Provider Enumeration Date 2007-03-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1123 E Main St
City Medford
State Oregon (OR)
Post Code 975047434
Phone Number 5417733422
Fax Number 5417792250

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 6025
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 D Wooton

What is the Randy D Wooton's unique identification number?

The Randy D Wooton has been assigned the NPI (National Provider Identifier) Number 1497889679 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 D Wooton is geographically located?

The Randy D Wooton is physically situated at the following location: 1123 E Main St, Medford, OR, 975047434.

What is Randy D Wooton's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Randy D Wooton's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.

When was the Randy D Wooton's 1497889679 issued?

The Randy D Wooton's 1497889679 was issued on 2007-03-16.

When was the information regarding Randy D Wooton most recently updated?

The details pertaining to the Randy D Wooton, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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