Individual provider · Type 1 NPI
Randall Wayne Stettler, DDS
Oral and Maxillofacial Surgery (Dentist) · La Mesa, CA
NPI number
1124244686
Active
Practice location
5565 Grossmont Center Dr, Building 1, Suite 129
La Mesa, CA 91942-3020
Fax (619) 463-6553
Other practice locations
- 8881 Fletcher Pkwy Ste 105C, La Mesa, CA 91942-3134 · (619) 463-4486
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 39089 (CA) |
Oral and Maxillofacial Surgery (Dentist): 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.
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About NPI 1124244686
Randall Wayne Stettler, DDS's National Provider Identifier is 1124244686, issued on Apr 17, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in La Mesa, CA. The record was last updated on Sep 17, 2025.