| Randal James Henneberg, DDS | |
|
12701 E Sprague Ave, Spokane Valley, WA 99216-0727 | |
| (509) 924-0055 | |
| Not Available |
| Full Name | Randal James Henneberg |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 12701 E Sprague Ave, Spokane Valley, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083846927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D-4246 (Idaho) | Secondary |
| 1223G0001X | Dentist - General Practice | DE60102400 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Randal James Henneberg, DDS 12701 E Sprague Ave, Spokane Valley, WA 99216-0727 Ph: (509) 924-0055 | Randal James Henneberg, DDS 12701 E Sprague Ave, Spokane Valley, WA 99216-0727 Ph: (509) 924-0055 |
Daniel W Skinner, DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 12509 E Mission Ave, Ste 101, Spokane Valley, WA 99216 Phone: 509-928-3600 Fax: 509-922-7244 | |
Dr. Daniel Chester Linford, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 420 N Evergreen Rd Bldg B, Spokane Valley, WA 99216 Phone: 509-922-1360 Fax: 509-921-1260 | |
Dr. Marc Weiand, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1414 N Vercler Rd, #6, Spokane Valley, WA 99216 Phone: 509-926-1589 Fax: 509-892-5168 | |
Dr. Jb Mcgregor Bermudez-koch, DMD DE61197009 Dentist Medicare: Not Enrolled in Medicare Practice Location: 15810 E Indiana Ave, Spokane Valley, WA 99216 Phone: 509-795-3800 | |
Dr. Kory J Wilson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 12121 E Broadway Ave Bldg Iii, Spokane Valley, WA 99206 Phone: 509-928-3363 | |
James J Psomas, DDS Dentist Medicare: Medicare Enrolled Practice Location: 12409 E Mission Ave, Spokane Valley, WA 99216 Phone: 509-924-4411 Fax: 509-924-2747 | |
Scott David Warnica, DDS Dentist Medicare: Medicare Enrolled Practice Location: 12409 E Mission Ave, Spokane Valley, WA 99216 Phone: 509-924-4411 Fax: 509-924-2747 |