Randall R Penn in Commerce Twp - Oral And Maxillofacial Surgery
Randall R Penn - NPI 1649228057
Randall R Penn is a Oral And Maxillofacial Surgery in Commerce Twp, Michigan. Randall R Penn practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Randall R Penn is 1649228057. The last update date is 2007-07-08.
Randall R Penn's current location address is 8906 Commerce Rd, Commerce Twp, Michigan. You can contact this provider via phone number 2483635900 and fax number 2483634917. The mailing address for Randall R Penn is 8906 Commerce Rd, Commerce Twp, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall R Penn |
|---|---|
| Address | 8906 Commerce Rd, Commerce Twp, Michigan |
| Phone Number | 2483635900 |
| Fax Number | 2483634917 |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1649228057 |
|---|---|
| Provider Enumeration Date | 2006-05-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 8906 Commerce Rd |
|---|---|
| City | Commerce Twp |
| State | Michigan (MI) |
| Post Code | 48382 |
| Phone Number | 2483635900 |
| Fax Number | 2483634917 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 2901012761 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Randall R Penn by the Centers for Medicare & Medicaid Services?
The Randall R Penn has been issued the NPI (National Provider Identifier) 1649228057, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Randall R Penn?
The Randall R Penn is situated at 8906 Commerce Rd, in the city of Commerce Twp, state of MI, with the zip code 48382.
What is Randall R Penn's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Randall R Penn is Oral And Maxillofacial Surgery, and the corresponding taxonomy classification code for this specialized field is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services assign the 1649228057 to Randall R Penn?
The Centers for Medicare & Medicaid Services assigned the 1649228057 to Randall R Penn on 2006-05-05.
When was the information related to Randall R Penn most recently updated or refreshed?
The details pertaining to the Randall R Penn, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.