PAUL A RENKE DDS
NPI 1114935632
Oral & Maxillofacial Surgery in Rochester Hills, MI

Active since August 03, 2006PECOS Enrolled
1460 WALTON BLVD, STE 10, ROCHESTER HILLS, MI 48309(248) 651-4202(248) 651-4204 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Paul A Renke Dds NPPES

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

PAUL A RENKE DDS (NPI 1114935632) is an individual oral & maxillofacial surgery provider in Rochester Hills, Michigan, licensed in Michigan (2901016821) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1114935632
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NamePAUL A RENKECredential: DDS
Location Address1460 WALTON BLVD, STE 10Rochester Hills, MI 48309
Mailing Address1460 Walton Blvd, Ste 10Rochester Hills, MI 48309 · (248) 651-4202 · Fax (248) 651-4204
Fax(248) 651-4204
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateAugust 3, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1114935632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License Licensed in MI · 2901016821
Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

1460 WALTON BLVD, Rochester Hills, MI 48309

Other Identifiers 2

Medicare UPINU82209
Medicare ID-Type Unspecified0N18960

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Paul A Renke Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416103866
PECOS Enrollment IDI20120820000095
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Psychologist (Clinical)
1460 WALTON BLVD, #202
ROCHESTER HILLS, MI 48309
Dentist (General Practice)
1460 WALTON BLVD, SUITE #205
ROCHESTER HILLS, MI 48309
Dentist (Endodontics)
1460 WALTON BLVD, SUITE 208
ROCHESTER HILLS, MI 48309
Dentist
1460 WALTON BLVD, SUITE 204
ROCHESTER, MI 48309
Oral & Maxillofacial Surgery
1460 WALTON BLVD, STE 10
ROCHESTER HILLS, MI 48309
Psychiatry & Neurology (Psychiatry)
1460 WALTON BLVD, SUITE 215
ROCHESTER HILLS, MI 48309
Psychologist (Clinical)
1460 WALTON BLVD, SUITE 218
ROCHESTER HILLS, MI 48309
Counselor (Professional)
1460 WALTON BLVD, SUITE 202
ROCHESTER HILLS, MI 48309

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114935632, enumerated as an "individual" on August 03, 2006.

The provider is located at 1460 WALTON BLVD STE 10 ROCHESTER HILLS, MI 48309 and the phone number is (248) 651-4202.

Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

The provider might be accepting Accepts: BEST Life, Blue Cross and Blue Shield of Alabama,. Please consult your insurance carrier or call the provider to verify.