Dr. Randall Wayne Stettler, D.D.S.
Dentist, Oral and Maxillofacial Surgery in La Mesa, CA. Individual provider (NPI-1).
Details
- NPI
- 1124244686
- Entity type
- Individual (NPI-1)
- Name
- Dr. Randall Wayne Stettler
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 17, 2007
- Certification date
- Sep 17, 2025
- Last updated
- Sep 17, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MAXILLOFACIAL SURGERY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | 39089 | CA | Yes |
Practice location
5565 Grossmont Center DrBuilding 1, Suite 129
La Mesa, CA 91942-3020
Phone 619-463-4486 · Fax 619-463-6553
Mailing address
5565 Grossmont Center DrBuilding 1, Suite 129
La Mesa, CA 91942-3020
Phone 619-463-4486 · Fax 619-463-6553
Other practice locations
La Mesa, CA 91942-3134
Phone 619-463-4486 · Fax 619-463-6553
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Oral and Maxillofacial Surgery (Dentist) providers in La Mesa, CA
- Dr. Anthony P. Varboncoeur DDS,inc.NPI 1114075314
- Paul Thomas Hiser, DDSNPI 1821158478
- P Thomas Hiser DDS Ms INCNPI 1366502916
- Randall W. Stettler, DDS, INCNPI 1790102127
- Anthony Paul VarboncoeurNPI 1922157213
All 6 Oral and Maxillofacial Surgery (Dentist) providers in La Mesa · All 2,882 providers in La Mesa
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