DR. EDWIN J., JR. RENNELL (NPI# 1831194141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831194141 |
| Entity Type | Individual |
| Full Name | DR. EDWIN J., JR. RENNELL |
| Credential | D.D.S. |
| Practice Address |
34441 8 Mile Rd Ste 107 Livonia MI 48152-4013 |
| Practice Telephone | 2484715838 |
| Practice Fax Number | 2484744603 |
| Mailing Telephone | 2484715838 |
| Mailing Fax Number | 2484744603 |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
2901007913 | MI | Dental Providers |
| Street Address |
34441 8 MILE RD STE 107 |
| City | LIVONIA |
| State | MI |
| Zip Code | 48152-4013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013387570 | Linda Ann Lhost | Psychologist | 34441 8 Mile Rd, Ste 104, Livonia, MI 48152-4013 | 2015-09-28 |
| 1760718571 | Doris A. Landry, M.s., P.C. | Case Management | 34441 8 Mile Rd, Suite 108, Livonia, MI 48152-4013 | 2009-10-29 |
| 1396918348 | Stanford Dental,pllc. | Clinic/Center | 34441 8 Mile Rd, Suite 114, Livonia, MI 48152-4013 | 2008-04-10 |
| 1023216165 | Blessed Mc, LLC. | General Practice | 34441 8 Mile Rd, Ste 104, Livonia, MI 48152-4013 | 2007-07-10 |
| 1801001102 | Civello Spinal Center Pllc | Chiropractor | 34441 8 Mile Rd, Suite 116, Livonia, MI 48152-4013 | 2007-05-11 |
| 1942333851 | Mark A Stanford | Dentist | 34441 8 Mile Rd, Suite 114, Livonia, MI 48152-4013 | 2007-03-13 |
| 1417092180 | Livonia Life Center Corp | Clinic/Center | 34441 8 Mile Rd, Suite 104, Livonia, MI 48152-4013 | 2007-02-21 |
| 1295846699 | Gregory Kramer | Chiropractor | 34441 8 Mile Rd, Ste 116, Livonia, MI 48152-4013 | 2006-08-31 |
| 1891724944 | Terry L Tipton | Chiropractor | 34441 8 Mile Rd, Ste 116, Livonia, MI 48152-4013 | 2006-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648171 | Hillary Fitzsimmons Psyd Pllc | Clinic/Center | 19455 Weyhar St, Livonia, MI 48152 | 2020-10-30 |
| 1639780968 | Goyanka Ranganathan | Student in an Organized Health Care Education/Training Program | Ipc Primary Care Internal Medicine, 37595 Seven Mile Road, Suite 340, Livonia, MI 48152 | 2020-08-11 |
| 1457988552 | Adam Ouellette | Student in an Organized Health Care Education/Training Program | St. Joe's Outpatient Psychiatry and Counseling Center, 37595 Seven Mile Rd, Suite 230, Livonia, MI 48152 | 2020-03-26 |
| 1972006047 | Genise Kerner Md PC | Clinic/Center | 37675 Pembrooke Ave, Livonia, MI 48152 | 2018-03-14 |
| 1205340593 | Rafal Hamamh | Dentist | 37595 7 Mile Rd Ste 4450, Livonia, MI 48152 | 2017-11-22 |
| 1053830489 | Felicia Cerise Reese | Registered Nurse | 17197 N. Laurel Park Drive, 555, Livonia, MI 48152 | 2017-09-18 |
| 1164943882 | Muhammad Yasir | Student in an Organized Health Care Education/Training Program | 37595 Seven Mile Rd. #340, Livonia, MI 48152 | 2017-07-03 |
| 1184154544 | St Mary Mercy Physician Practices | Clinic/Center | 39201 7 Mile Rd Bldg Room140, Livonia, MI 48152 | 2017-06-18 |
| 1912437518 | Divonne Touch | Clinic/Center | 18298 Middlebelt, Liviona, MI 48152 | 2017-06-15 |
| 1861922445 | Cheryl Lang | Physical Therapist | 17177 N Laurel Park Drive, Suite 417, Livonia, MI 48152 | 2017-06-15 |
| Find all providers in zip 48152 | ||||
| Taxonomy Code | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942468186 | Mid Michigan Oral Surgery | Dentist | 1040 Charlevoix Dr, Grand Ledge, MI 48837-2417 | 2008-05-23 |
| 1669675567 | Oral and Maxillofacial Surgery Associates | Dentist | 785 E M32, Gaylord, MI 49735 | 2007-06-07 |
| 1235273152 | Oral and Maxillofacial Surgery Associates of Michigan, P.C. | Dentist | 32905 W 12 Mile Rd Ste 200, Farmington Hills, MI 48334-3344 | 2007-02-16 |
| 1548283559 | Oral and Maxillofacial Surgery Services, Plc | Dentist | 4500 Cascade Rd Se, Suite #208, Grand Rapids, MI 49546-3665 | 2006-07-25 |
| 1063440543 | Fredric L Bonine | Dentist | 6893 Grand River Rd, Brighton, MI 48114-9345 | 2006-06-30 |
| 1508805607 | Joseph Vincent Mauro | Dentist | 231 W. Lake Lansing Rd, Suite 200, East Lansing, MI 48823-8451 | 2006-06-05 |
| 1952397093 | Arvind Gulati | Dentist | 23655 Novi Rd Ste 103, Novi, MI 48375-5442 | 2005-09-23 |
| 1255333431 | Gary Harold Dwight | Dentist | 818 W Lake Lansing Rd, East Lansing, MI 48823-1308 | 2005-06-01 |
| 1588900518 | Chia-cheng Li | Dentist | 1011 N University Ave, Ann Arbor, MI 48109-1078 | 2012-12-19 |
| 1285889709 | Regents of The University of Michigan Oral Pathology | Dentist | 1011 N University Ave, Ann Arbor, MI 48109-1078 | 2008-11-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.