Randall R Wiley in Concord - Pediatric Dentistry
Randall R Wiley - NPI 1548474711
Randall R Wiley is a Pediatric Dentistry in Concord, California. Randall R Wiley practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Randall R Wiley is 1548474711. The last update date is 2007-07-08.
Randall R Wiley's current location address is 2879 Willow Pass Rd, Concord, California. You can contact this provider via phone number 9256850513. The mailing address for Randall R Wiley is 2879 Willow Pass Rd, Concord, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall R Wiley |
|---|---|
| Address | 2879 Willow Pass Rd, Concord, California |
| Phone Number | 9256850513 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1548474711 |
|---|---|
| Provider Enumeration Date | 2007-05-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2879 Willow Pass Rd |
|---|---|
| City | Concord |
| State | California (CA) |
| Post Code | 945192553 |
| Phone Number | 9256850513 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 21225 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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What is the unique 10-digit identification code issued to Randall R Wiley by the Centers for Medicare & Medicaid Services?
The Randall R Wiley has been assigned the NPI (National Provider Identifier) 1548474711 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Randall R Wiley is located?
The Randall R Wiley is situated at the following address: 2879 Willow Pass Rd, Concord, CA, 945192553.
What is Randall R Wiley's specialized field of practice, and what is the corresponding taxonomy classification code?
The Randall R Wiley's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.
On what date did the Randall R Wiley receive the assignment of its 1548474711 from the Centers for Medicare & Medicaid Services?
The Randall R Wiley was issued its 1548474711 by the Centers for Medicare & Medicaid Services on 2007-05-09.
When was the information pertaining to Randall R Wiley most recently updated or revised?
The details related to Randall R Wiley, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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