Randolph Alvin Degerness in Littleton - Endodontics

Randolph Alvin Degerness - NPI 1649392382

Randolph Alvin Degerness is a Endodontics in Littleton, Colorado. Randolph Alvin Degerness practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Randolph Alvin Degerness is 1649392382. The last update date is 2007-07-08.

Randolph Alvin Degerness's current location address is 8340 Sangre De Cristo Rd, Littleton, Colorado. You can contact this provider via phone number 3039484884 and fax number 7209227734. The mailing address for Randolph Alvin Degerness is 8340 Sangre De Cristo Rd, Littleton, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Randolph Alvin Degerness
Address 8340 Sangre De Cristo Rd, Littleton, Colorado
Phone Number 3039484884
Fax Number 7209227734
Sole Proprietor N
Credentials DDS, MS

NPI Number Detail

NPI Number 1649392382
Provider Enumeration Date 2007-04-04
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 8340 Sangre De Cristo Rd
City Littleton
State Colorado (CO)
Post Code 801274248
Phone Number 3039484884
Fax Number 7209227734

Provider's Primary Taxonomy Detail

Speciality Endodontics
Taxonomy 1223E0200X
Licence No DEN000000005
Definition:
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
DEN000000005149 CO LICENSE NUMBER
D9660 MN STATE LICENSE NUMBER
899 WY STATE LICENSE NUMBER

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FAQs about Randolph Alvin Degerness

What is the unique identifier code issued to Randolph Alvin Degerness by the Centers for Medicare & Medicaid Services (CMS)?

The Randolph Alvin Degerness has been assigned the NPI (National Provider Identifier) 1649392382. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Randolph Alvin Degerness located?

The Randolph Alvin Degerness is located at 8340 Sangre De Cristo Rd, Littleton, CO 801274248.

What is Randolph Alvin Degerness's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Randolph Alvin Degerness's specialized field of practice is Endodontics, and the corresponding taxonomy code that categorizes this area of specialization is 1223E0200X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1649392382 to Randolph Alvin Degerness?

The Centers for Medicare & Medicaid Services originally issued the 1649392382 to Randolph Alvin Degerness on 2007-04-04.

As of what date was the information pertaining to Randolph Alvin Degerness, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Randolph Alvin Degerness, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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