# DR RANDALL J EGGERT DDS PS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518038017
- **Authorized official:** DR. RANDALL J EGGERT D.D.S., P.S. (OWNER, ORAL SURGEON)
- **Authorized official phone:** (425) 882-9116

## Contact information

- **Practice address:** 8575 164TH AVE NE, SUITE 300, REDMOND, WA 98052-3679
- **Practice address phone:** (425) 882-9116
- **Practice address fax:** (425) 882-9136
- **Mailing address:** 8575 164TH AVE NE, SUITE 300, REDMOND, WA 98052-3679
- **Mailing address phone:** (425) 882-9116
- **Mailing address fax:** (425) 882-9136

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DE00007583 | WA | Yes |

## Other

- **Enumeration date:** 11/13/2006
- **Last updated:** 07/12/2007