Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EDWIN J., JR. RENNELL, D.D.S.
ActiveDR. EDWIN J., JR. RENNELL, D.D.S. is a Orthodontics & Dentofacial Orthopedics healthcare provider located in LIVONIA, Michigan. NPI 1831194141 is currently active in the NPPES registry. Verify at CMS.
Orthodontics & Dentofacial Orthopedics · LIVONIA, MI
Registration Details
- NPI Number
- 1831194141
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 15, 2005 (21.198282652232 yrs)
- Last Updated
- Jul 8, 2007
- License
-
2901007913 (MI)
Practice Information
- Address
-
34441 8 MILE RDSTE 107LIVONIA, MI, 481524013Browse MI providers · Browse ZIP 48152
- Phone
- 2484715838
- Fax
- 2484744603
- Primary Specialty
-
Orthodontics & Dentofacial Orthopedics
1223P0106X
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.