| Randy L Bisping Dds Ms Pc | |
|
3579 Henry St Suite 140 Norton Shores MI 49441-6720 | |
| (231) 739-1215 | |
| (231) 737-2347 |
| Full Name | Randy L Bisping Dds Ms Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 3579 Henry St, Norton Shores, Michigan |
| Authorized Official Name and Position | Randy Lee Bisping (ORAL SURGEON) |
| Authorized Official Contact | 2317391215 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randy L Bisping Dds Ms Pc 3579 Henry St Suite 140 Norton Shores MI 49441-6720 Ph: (231) 739-1215 | Randy L Bisping Dds Ms Pc 3579 Henry St Suite 140 Norton Shores MI 49441-6720 Ph: (231) 739-1215 |
| NPI Number | 1174892772 |
|---|---|
| Provider Enumeration Date | 12/28/2011 |
| Last Update Date | 03/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174892772 | NPI | - | NPPES |
| 122658890 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 2901014916 (Michigan) | Primary |
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