Individual
DR. RANDOLPH ALVIN DEGERNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
8340 SANGRE DE CRISTO RD, SUITE 104, LITTLETON, CO 80127-4248
(303) 948-4884
(720) 922-7734
Mailing address
8340 SANGRE DE CRISTO RD, SUITE 104, LITTLETON, CO 80127-4248
(303) 948-4884
(720) 922-7734
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
899
WY
1223E0200X
Endodontics
D9660
MN
1223E0200X
Endodontics
Primary
DEN000000005149
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
899
STATE LICENSE NUMBER
WY
01
—
D9660
STATE LICENSE NUMBER
MN
01
—
DEN000000005149
LICENSE NUMBER
CO
Enumeration date
04/04/2007
Last updated
07/08/2007
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