Randy Demetter is a Boise, Idaho based Periodontics who is specialized in Periodontology. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Randy Demetter is D-4831-PE for Periodontology in Idaho. His current practice location is 140 E Boise Ave, Boise. Patients can reach him at 208-385-9228.
Randy Demetter is specialized in that branch 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.
Complete Profile:
Randy Demetter speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Randy Demetter
Specialization:
Periodontics
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
140 E Boise Ave, Boise, Idaho, 83706-4302
Phone:
208-385-9228
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1275941288
NPI Enumeration Date:
23 Jul, 2014
NPI Last Update On:
05 Apr, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Randy Demetter are as mentioned below.
License Number
Specialization
State
Status
D-4831-PE
Periodontology
Idaho
Primary
ETN283
Periodontology
Texas
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
140 E Boise Ave, Boise, Idaho
Zip:
83706-4302
Phone Number:
208-385-9228
Patients can reach Randy Demetter at 140 E Boise Ave, Boise, Idaho or can call to book an appointment on 208-385-9228. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.