Root, Randall Edmund

Root, Randall Edmund is an individual health care provider with primary practice located at 2677 Elizabeth Lake Rd , Waterford MI 48328-3290. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Root, Randall Edmund can be contacted via phone (248) 682-8811.

Contact Information

Primary practice address
2677 Elizabeth Lake Rd Waterford MI 48328-3290
Fax: (248) 682-2701
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 2901010725 Michigan

Profile Details

NPI number 1407913650
LBN Legal business name Root, Randall Edmund
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
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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