Renaissance Endodontics, PLLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

RENAISSANCE ENDODONTICS, PLLC

Practice address

23077 Greenfield Rd
Suite 285
Southfield, MI 48075-3709

Phone

(248) 395-9800

Fax

(248) 395-9778

NPI assigned

Jul 10, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Yakov Young

Title

Office Manager

Phone

(248) 395-9800

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Todd V. Ester, DDS

  • Endodontics
  • Southfield, MI
  • NPI 1265659866
  NPD (past)
• Brad G. Griffin, DDS

  • Endodontics
  • Southfield, MI
  • NPI 1619194214
  NPD (past)
• Anthony Leron Neely, D.D.S.

  • Periodontics
  • Southfield, MI
  • NPI 1649481755
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174557482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87068",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481870068",
            "telephone_number": "248-395-9800",
            "fax_number": "248-395-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23077 GREENFIELD RD",
            "address_2": "SUITE 285",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753709",
            "telephone_number": "248-395-9800",
            "fax_number": "248-395-9778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE ENDODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "YAKOV",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-395-9800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Endodontics in Southfield, MI
• Providers in Southfield, MI by specialty
• Endodontics in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.