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RENAISSANCE DENTAL PC
NPI 1205030277
Dentist - General Practice in Detroit, MI

Active since June 13, 2007
7330 W WARREN AVE, DETROIT, MI 48210(313) 340-9293(313) 340-9293 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Renaissance Dental Pc NPPES

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

RENAISSANCE DENTAL PC (NPI 1205030277) is a healthcare organization registered as a general practice in Detroit, Michigan and active in the NPI registry since June 2007. The organization lists Wallace L Walker, Dentist, as its authorized official.

NPPES Registry Identity

NPI1205030277
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameRENAISSANCE DENTAL PC
Location Address7330 W WARREN AVEDetroit, MI 48210-1041
Mailing Address7330 W Warren AveDetroit, MI 48210-1041 · (313) 340-9293 · Fax (313) 340-9293
Phone(313) 340-9293
Fax(313) 340-9293
Organization SubpartNo
Authorized OfficialWallace L WalkerDentist · (313) 340-9293
Enumeration DateJune 13, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1205030277 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 · 12881
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.
7330 W WARREN AVE, Detroit, MI 48210
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Renaissance Dental PC's NPI number?

The NPI number for Renaissance Dental PC is 1205030277. It was assigned to this organization in the NPPES registry on June 13, 2007.

Where is Renaissance Dental PC located?

Renaissance Dental PC is located at 7330 W Warren Ave, Detroit, MI 48210. The listed phone number is (313) 340-9293.

What is Renaissance Dental PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Renaissance Dental PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.