Degerness, Randolph Alvin

Degerness, Randolph Alvin is an individual health care provider with primary practice located at 8340 Sangre De Cristo Rd Suite 104, Littleton CO 80127-4248. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Degerness, Randolph Alvin can be contacted via phone (303) 948-4884.

Contact Information

Primary practice address
8340 Sangre De Cristo Rd Suite 104 Littleton CO 80127-4248
Phone: (303) 948-4884
Fax: (720) 922-7734
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X DEN000000005149 Colorado
Dental Providers / Endodontics 1223E0200X D9660 Minnesota
Dental Providers / Endodontics 1223E0200X 899 Wyoming

Profile Details

NPI number 1649392382
LBN Legal business name Degerness, Randolph Alvin
Credentials DDS, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649392382 NPPES
Colorado Other DEN000000005149 LICENSE NUMBER
Colorado Other D9660 LICENSE NUMBER
Colorado Other 899 LICENSE NUMBER

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