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Deactivated NPI 1790908275 Deactivated / Inactive NPI Male Practitioner

Dr. Randall Kent Stephens , DDS

Dentist - General Practice • Spokane, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Randall Stephens has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 11, 2007
NPI Deactivation Date January 27, 2021
Total Practice Duration ~14 Years of Practice (2007 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Randall Stephens, DDS was a registered Dentist - General Practice practicing in Spokane, WA. Throughout an active medical career spanning 14 years, Dr. Stephens provided care at the practice location at 8414 N WALL ST until profile deactivation on 2021-01-27.

Practice Location & Contact Primary Location

Practice Address

8414 N Wall St

Spokane, WA 992086171

Telephone 5093279533
Associated Practice Facility / Clinic
🏢 Bret Woodward Dmd Pllc Facility NPI 1316885684

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Spokane, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
145 Specialists

Practicing in Spokane, WA (3345 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE00007019

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 27, 2021

Record deactivated on January 27, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 8414 N WALL ST, SPOKANE, WA 992086171 (Tel: 5093279533)

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Updated Business Mailing Address July 08, 2007

Registered at 8414 N WALL ST, SPOKANE, WA 992086171 (Tel: 5093279533)

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Provider Name / Credentials Updated July 08, 2007

Recorded as RANDALL STEPHENS, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #DE00007019 in WA)

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Initial NPI Registration & Enumeration April 11, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790908275
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 11, 2007
Last Update: July 08, 2007
Deactivation Date: January 27, 2021

Mailing Address

8414 N Wall St

Spokane, WA 992086171

Phone: 5093279533

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.