Randall Craig Duncan in Peterson Afb - Periodontics

Randall Craig Duncan - NPI 1154394120

Randall Craig Duncan is a Periodontics in Peterson Afb, Colorado. Randall Craig Duncan practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Randall Craig Duncan is 1154394120. The last update date is 2007-07-08.

Randall Craig Duncan's current location address is 559 Vincent St, Peterson Afb, Colorado. You can contact this provider via phone number 7195561060 and fax number 7195569677. The mailing address for Randall Craig Duncan is 559 Vincent St, Peterson Afb, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Randall Craig Duncan
Address 559 Vincent St, Peterson Afb, Colorado
Phone Number 7195561060
Fax Number 7195569677
Sole Proprietor X
Credentials DDS

NPI Number Detail

NPI Number 1154394120
Provider Enumeration Date 2006-02-09
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 559 Vincent St
City Peterson Afb
State Colorado (CO)
Post Code 809141540
Phone Number 7195561060
Fax Number 7195569677

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 13608
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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FAQs about Randall Craig Duncan

Can you provide the Randall Craig Duncan's physical address?

The Randall Craig Duncan is physically located at 559 Vincent St, in the city of Peterson Afb, CO, with the postal code 809141540.

What is the Randall Craig Duncan's area of specialization and corresponding taxonomy classification?

The Randall Craig Duncan's specialty field is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their specialties.

When did the Randall Craig Duncan receive its 1154394120?

The Randall Craig Duncan was issued its 1154394120 on 2006-02-09, which is the date when the organization was assigned this unique identifier.

As of what date were the Randall Craig Duncan's details last updated?

The information pertaining to the Randall Craig Duncan, including its address, specialty, and other details, was most recently updated on 2007-07-08.

As of what date were the details related to Randall Craig Duncan most recently updated or revised?

The information pertaining to Randall Craig Duncan, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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