Breen, Randy James

Breen, Randy James is an individual health care provider with primary practice located at 515 Lakeside Dr Se #208, Grand Rapids MI 49506-2931. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Breen, Randy James can be contacted via phone (616) 454-9091.

Contact Information

Primary practice address
515 Lakeside Dr Se #208 Grand Rapids MI 49506-2931
Phone: (616) 454-9091
Fax: (616) 454-1159
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2901014055 Michigan

Profile Details

NPI number 1003815655
LBN Legal business name Breen, Randy James
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2005
Last updated Jul 8th, 2007 - about 19 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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