Penn, Randall R

Penn, Randall R is an individual health care provider with primary practice located at 8906 Commerce Rd Ste 1, Commerce Twp MI 48382. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Penn, Randall R can be contacted via phone (248) 363-5900.

Contact Information

Primary practice address
8906 Commerce Rd Ste 1 Commerce Twp MI 48382
Phone: (248) 363-5900
Fax: (248) 363-4917
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 2901012761 Michigan

Profile Details

NPI number 1649228057
LBN Legal business name Penn, Randall R
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Jul 8th, 2007 - about 17 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.

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