Most Relevant Information
Provider Data
| NPI Number: | 1003241860 |
| Provider Name: | RANDY SCOTT FAECHER D.M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | DN 12491 |
Most Important Dates
| Enumeration Date: | 09/11/2013 |
| Last Updated: | 09/11/2013 |
Provider Practice Location
2495 SHREVEPORT HWY
DENTAL SERVICE, ALEXANDRIA VA HEALTHCARE SYSTEM
PINEVILLE
LA
713604044
Practice Location Phone/Fax
| Phone: | 3184662567 |
| Fax: |
Provider Mailing Location
2495 SHREVEPORT HWY
DENTAL SERVICE, ALEXANDRIA VA HEALTHCARE SYSTEM
PINEVILLE
LA
713604044
Provider Mailing Phone/Fax
| Phone: | 3184662567 |
| Fax: | 3184662567 |