Persiani, Richard J

Persiani, Richard J is an individual health care provider with primary practice located at 6177 Orchard Lake Road Suite #120, West Bloomfield MI 48322. He recently has 4 registered licenses in different health care specialties including Dental Providers / Dentist, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Prosthodontics. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Persiani, Richard J can be contacted via phone (248) 855-6655.

Contact Information

Primary practice address
6177 Orchard Lake Road Suite #120 West Bloomfield MI 48322
Phone: (248) 855-6655
Fax: (248) 855-0803
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D10565 Michigan
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 2901010565 Michigan
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 2901010565 Michigan
Dental Providers / Prosthodontics 1223P0700X 2901010565 Michigan

Profile Details

NPI number 1770625055
LBN Legal business name Persiani, Richard J
Credentials DDS MS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
Last updated Mar 7th, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1770625055 NPPES
Michigan MEDICAID 2758821

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