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
Phone: (248) 682-8811
Fax: (248) 682-2701
Website:
Health care specialties
| Specialty | Code | License # | 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 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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