Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RANDALL R PENN, DDS
ActiveDR. RANDALL R PENN, DDS is a Oral & Maxillofacial Surgery healthcare provider located in COMMERCE TWP, Michigan. NPI 1649228057 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · COMMERCE TWP, MI
Registration Details
- NPI Number
- 1649228057
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 5, 2006 (20.323306764871 yrs)
- Last Updated
- Jul 8, 2007
- License
-
2901012761 (MI)
Practice Information
- Address
-
8906 COMMERCE RDSTE 1COMMERCE TWP, MI, 48382Browse MI providers · Browse ZIP 48382
- Phone
- 2483635900
- Fax
- 2483634917
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.