De Young, Randall Scott
De Young, Randall Scott is an sole proprietor health care provider with primary practice located at 1869 Porter St Sw , Wyoming MI 49519-1709. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. De Young, Randall Scott can be contacted via phone (616) 532-7601.Contact Information
Primary practice address
1869 Porter St Sw
Wyoming MI 49519-1709
Phone: (616) 532-7601
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | RES.004364 | Ohio |
| Dental Providers / Dentist | 122300000X | 2901600996 | Michigan |
Profile Details
| NPI number | 1104493410 |
|---|---|
| LBN Legal business name | De Young, Randall Scott |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 6th, 2021 |
| Last updated | Oct 7th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
Flanagin, Dale Robert
1124 28Th St Sw , Wyoming MI 49509-2855 -
Szymanski, Brianna Beatrice
1124 28Th St Sw , Wyoming MI 49509-2855 -
Majznerski, Larry
1416 44Th St Sw , Wyoming MI 49509-4483 -
Cabrera, Daniel Alejandro
2929 Burlingame Ave Sw , Wyoming MI 49509-2600 -
Kappus, Krista
2929 Burlingame Ave Sw , Wyoming MI 49509-2609 -
Fernandez, Noelia Maria
2929 Burlingame Ave Sw , Wyoming MI 49509-2600 -
Shephard, Jeneen Renee
630 36Th St Sw , Wyoming MI 49509-4100 -
Plummer, James Byron
1124 28Th St Sw , Wyoming MI 49509-2855