William Randy Deeter in Anchorage - Oral And Maxillofacial Surgery

William Randy Deeter - NPI 1457365827

William Randy Deeter is a Oral And Maxillofacial Surgery in Anchorage, Alaska. William Randy Deeter practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for William Randy Deeter is 1457365827. The last update date is 2008-04-10.

William Randy Deeter's current location address is 111 W 16th Ave, Anchorage, Alaska. You can contact this provider via phone number 9075611430 and fax number 9075612697. The mailing address for William Randy Deeter is 111 W 16th Ave, Anchorage, Alaska. To know further, please read the information below!

Provider Profile Detail

Provider Name William Randy Deeter
Address 111 W 16th Ave, Anchorage, Alaska
Phone Number 9075611430
Fax Number 9075612697
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1457365827
Provider Enumeration Date 2006-07-28
Last Updated Date 2008-04-10

Provider Mailing Address Detail

Address 111 W 16th Ave
City Anchorage
State Alaska (AK)
Post Code 995016206
Phone Number 9075611430
Fax Number 9075612697

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No 654
Definition:
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
480642 AK TRI-CARE ID
DD0654 AK --

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FAQs about William Randy Deeter

What is the unique provider identifier assigned to William Randy Deeter?

The William Randy Deeter has been issued the NPI (National Provider Identifier) 1457365827 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

What is William Randy Deeter's area of expertise and its corresponding taxonomy classification?

The William Randy Deeter's field of specialization is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1457365827 to William Randy Deeter?

The Centers for Medicare & Medicaid Services originally issued the 1457365827 to William Randy Deeter on 2006-07-28.

As of what date were the details pertaining to William Randy Deeter last refreshed?

The information related to the William Randy Deeter, including its address, specialty, and other relevant details, was last updated on 2008-04-10.

When was the information regarding William Randy Deeter, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to William Randy Deeter, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-04-10.

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