Renken, Joshua Matthew

Renken, Joshua Matthew is an individual health care provider with primary practice located at 7000 Piper Glen Dr Ste B, Springfield IL 62711-7390. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Renken, Joshua Matthew can be contacted via phone (217) 483-7177.

Contact Information

Primary practice address
7000 Piper Glen Dr Ste B Springfield IL 62711-7390
Phone: (217) 483-7177
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X Illinois

Profile Details

NPI number 1467455378
LBN Legal business name Renken, Joshua Matthew
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Jul 8th, 2007 - about 18 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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