DR. RANDOLPH ALVIN DEGERNESS DDS MS NPI 1649392382

NPI Information

NPI: 1649392382
Provider Name: DR. RANDOLPH ALVIN DEGERNESS, DDS, MS
Classification: Dentist - 1223E0200X
Entity Type: Individual

Specialization: Endodontics

Address:
8340 SANGRE DE CRISTO RD
SUITE 104
LITTLETON, CO
ZIP 80127
Phone: (303) 948-4884
Get Directions

DR. Randolph Alvin Degerness, DDS, MS is an endodontics dentist in Littleton, CO. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. DR. Randolph Alvin Degerness, DDS, MS NPI is 1649392382. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8340 SANGRE DE CRISTO RD
SUITE 104
LITTLETON, CO
ZIP 80127-248
Phone: (303) 948-4884
Fax: (720) 922-7734

The enumeration date for this NPI number is 4/4/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223E0200X	Dentist	Endodontics	D9660	MINNESOTA	No
2	1223E0200X	Dentist	Endodontics	899	WYOMING	No
3	1223E0200X	Dentist	Endodontics	DEN000000005149	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DEN000000005149	OTHER	COLORADO	LICENSE NUMBER
2	899	OTHER	WYOMING	STATE LICENSE NUMBER
3	D9660	OTHER	MINNESOTA	STATE LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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