Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Randall Wayne Stettler, DDS

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1124244686

Dr. Randall Wayne Stettler, DDS is a Maxillofacial Surgery in LA Mesa, California. Qualified in 1990, 36 years ago. Practices with Emergency and Acute Care Medical Corporation, a 439-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
36
Licensed in
CA
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

5565 Grossmont Center Dr Bldg 1 Ste 129
LA Mesa, CA 91942-3020
Phone: (619) 463-4486
Fax: (619) 463-6553
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8881 Fletcher Pkwy Ste 105c, La Mesa, CA 91942-3134 — (619) 463-4486

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 39089 (CA)

Record details

NPI number1124244686
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedApril 17, 2007
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025
Mailing address5565 Grossmont Center Dr, Building 1, Suite 129, La Mesa, CA 91942-3020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMAXILLOFACIAL SURGERY
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Emergency And Acute Care Medical Corporation — 439 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in LA Mesa