Randy R. Fitzgerald in Phoenix - Periodontics
Randy R. Fitzgerald - NPI 1669549119
Randy R. Fitzgerald is a Periodontics in Phoenix, Arizona. Randy R. Fitzgerald practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Randy R. Fitzgerald is 1669549119. The last update date is 2007-07-08.
Randy R. Fitzgerald's current location address is 4350 E Ray Rd, Phoenix, Arizona. You can contact this provider via phone number 4807060777 and fax number 4807060825. The mailing address for Randy R. Fitzgerald is 4350 E Ray Rd, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randy R. Fitzgerald |
|---|---|
| Address | 4350 E Ray Rd, Phoenix, Arizona |
| Phone Number | 4807060777 |
| Fax Number | 4807060825 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1669549119 |
|---|---|
| Provider Enumeration Date | 2006-11-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4350 E Ray Rd |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850444703 |
| Phone Number | 4807060777 |
| Fax Number | 4807060825 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 6988 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Randy R. Fitzgerald by the Centers for Medicare & Medicaid Services?
The Randy R. Fitzgerald has been issued the NPI (National Provider Identifier) 1669549119, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Randy R. Fitzgerald's facilities are geographically located?
The facilities of Randy R. Fitzgerald are physically situated at the following location: 4350 E Ray Rd, Phoenix, AZ, 850444703.
What is Randy R. Fitzgerald's specialized field of practice, and what is the corresponding taxonomy classification code?
The Randy R. Fitzgerald's area of specialization is Periodontics, and the corresponding taxonomy code that categorizes this field of practice is 1223P0300X.
When was the Randy R. Fitzgerald's 1669549119 issued?
The Randy R. Fitzgerald's 1669549119 was issued on 2006-11-29.
When was the information pertaining to Randy R. Fitzgerald most recently updated or revised?
The details related to Randy R. Fitzgerald, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.