Individual provider · Type 1 NPI

Randy R. Fitzgerald, DDS

Periodontics · Phoenix, AZ

NPI number 1669549119 Active

Practice location

4350 E Ray Rd, Building 2 Suite 110
Phoenix, AZ 85044-4703

Fax (480) 706-0825

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X6988 (AZ)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1669549119

Randy R. Fitzgerald, DDS's National Provider Identifier is 1669549119, issued on Nov 29, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 8, 2007.