Dr Randall August Bergeron, DDS - Dentist in Baton Rouge, LA

Dr Randall August Bergeron, DDS is a Dentist - Pediatric Dentistry based in Baton Rouge, Louisiana. Dr Randall August Bergeron is licensed to practice in Louisiana (license number 3809) and his current practice location is 7930 Wrenwood Blvd, Ste B, Baton Rouge, Louisiana. He can be reached at his office (for appointments etc.) via phone at (225) 924-3635.

NPI number for Dr Randall August Bergeron is 1275612376 and his current mailing address is 7930 Wrenwood Blvd, Ste B, Baton Rouge, Louisiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1275612376.

Contact Information

Dr Randall August Bergeron, DDS
7930 Wrenwood Blvd, Ste B,
Baton Rouge, LA 70809-7700
(225) 924-3635
(225) 924-3736



Healthcare Provider's Profile

Full NameDr Randall August Bergeron
GenderMale
SpecialityDentist - Pediatric Dentistry
Location7930 Wrenwood Blvd, Baton Rouge, Louisiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1275612376
  • Provider Enumeration Date: 11/02/2006
  • Last Update Date: 12/12/2016

Medical Identifiers

Medical identifiers for Dr Randall August Bergeron such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275612376NPI-NPPES
1838098MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0221XDentist - Pediatric Dentistry 3809 (Louisiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Randall August Bergeron is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Randall August Bergeron, DDS
7930 Wrenwood Blvd, Ste B,
Baton Rouge, LA 70809-7700

Ph: (225) 924-3635
Dr Randall August Bergeron, DDS
7930 Wrenwood Blvd, Ste B,
Baton Rouge, LA 70809-7700

Ph: (225) 924-3635

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