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DR. RANDY JAMES BREEN D.D.S.
NPI 1003815655
Dentist - General Practice in Grand Rapids, MI

Active since July 17, 2005
515 LAKESIDE DR SE, #208, GRAND RAPIDS, MI 49506(616) 454-9091(616) 454-1159 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Randy James Breen D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RANDY JAMES BREEN D.D.S. (NPI 1003815655) is an individual general practice provider in Grand Rapids, Michigan, licensed in Michigan (2901014055) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1003815655
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. RANDY JAMES BREENCredential: D.D.S.
Location Address515 LAKESIDE DR SE, #208Grand Rapids, MI 49506-2931
Mailing Address2435 Rolling Meadow Dr NeBelmont, MI 49306-9332 · (616) 863-9515
Phone(616) 454-9091
Fax(616) 454-1159
Enumeration DateJuly 17, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1003815655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MI · 2901014055
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
515 LAKESIDE DR SE, Grand Rapids, MI 49506
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THOMAS A MALEC MD PC
Exclusive Provider Organization
515 LAKESIDE DR SE, SUITE 207
GRAND RAPIDS, MI 49506
Kent County (616) 459-3564
THOMAS A MALEC M.D., P.C.
Ophthalmology
515 LAKESIDE DR SE, SUITE 207
GRAND RAPIDS, MI 49506
Kent County (616) 459-3564

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randy Breen's NPI number?

The NPI number for Randy Breen is 1003815655. It was assigned to this individual provider in the NPPES registry on July 17, 2005.

Where is Randy Breen located?

Randy Breen practices at 515 Lakeside Dr SE #208, Grand Rapids, MI 49506. The listed phone number is (616) 454-9091.

What is Randy Breen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Randy Breen accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Randy Breen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Randy Breen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.