Robert D Renzema is a Dentist in Holland, Michigan. Robert D Renzema practices all healthcare services and medical treatments related to Dentist. The NPI Number for Robert D Renzema is 1093716706. The last update date is 2007-07-08.
Robert D Renzema's current location address is 532 Michigan Ave, Holland, Michigan. You can contact this provider via phone number 6163968320 and fax number 6163968764. The mailing address for Robert D Renzema is 532 Michigan Ave, Holland, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert D Renzema |
|---|---|
| Address | 532 Michigan Ave, Holland, Michigan |
| Phone Number | 6163968320 |
| Fax Number | 6163968764 |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1093716706 |
|---|---|
| Provider Enumeration Date | 2005-08-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 532 Michigan Ave |
|---|---|
| City | Holland |
| State | Michigan (MI) |
| Post Code | 494234721 |
| Phone Number | 6163968320 |
| Fax Number | 6163968764 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 8507 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4022150 | MI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Robert D Renzema by the Centers for Medicare & Medicaid Services?
The Robert D Renzema has been assigned the NPI (National Provider Identifier) 1093716706. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Robert D Renzema is physically located?
The Robert D Renzema is situated at the following address: 532 Michigan Ave, Holland, MI 494234721.
What is the Robert D Renzema's area of specialization and corresponding taxonomy classification?
The Robert D Renzema's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did Robert D Renzema receive its 1093716706 assignment from the Centers for Medicare & Medicaid Services?
The Robert D Renzema was assigned its 1093716706 on 2005-08-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Robert D Renzema most recently updated or refreshed?
The details pertaining to the Robert D Renzema, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.