Randall Edward Mckean in Fayetteville - Endodontics
Randall Edward Mckean - NPI 1437296746
Randall Edward Mckean is a Endodontics in Fayetteville, Georgia. Randall Edward Mckean practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Randall Edward Mckean is 1437296746. The last update date is 2007-07-08.
Randall Edward Mckean's current location address is 112 N Park Dr, Fayetteville, Georgia. You can contact this provider via phone number 7704611959. The mailing address for Randall Edward Mckean is 112 N Park Dr, Fayetteville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall Edward Mckean |
|---|---|
| Address | 112 N Park Dr, Fayetteville, Georgia |
| Phone Number | 7704611959 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1437296746 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 112 N Park Dr |
|---|---|
| City | Fayetteville |
| State | Georgia (GA) |
| Post Code | 302141645 |
| Phone Number | 7704611959 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 8058 |
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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 |
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What is the unique 10-digit identifier code issued to Randall Edward Mckean by the Centers for Medicare & Medicaid Services?
The Randall Edward Mckean has been assigned the NPI (National Provider Identifier) 1437296746 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 address where Randall Edward Mckean is physically located?
The Randall Edward Mckean is situated at the following address: 112 N Park Dr, Fayetteville, GA 302141645.
What is the Randall Edward Mckean's area of specialization and corresponding taxonomy classification?
The Randall Edward Mckean's specialty field is Endodontics, and it falls under the taxonomy code 1223E0200X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1437296746 to Randall Edward Mckean?
The Randall Edward Mckean received its 1437296746 assignment from the Centers for Medicare & Medicaid Services on 2007-01-30.
When was the information regarding Randall Edward Mckean most recently updated?
The details pertaining to the Randall Edward Mckean, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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