Randy J Allain, D.D.S, F.A.G.D, F.I.
Individual provider Active NPI General Practice Dentistry · Highland, MI
NPI 1467510404 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1467510404
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2901014545 (MI)
- Practice address
- 1733 S Milford Rd
Highland, MI 48357-4870 - Phone
- (248) 887-3300
- Fax
- (248) 887-9711
- NPI assigned
- Dec 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161206001325 | MI | Order and Referring Only - Dentist |
2163702317 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fortson Dentistry Milford P.C. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901014545 | MI | Yes |
Addresses
Primary practice location
1733 S Milford Rd
Highland, MI 48357-4870
Mailing address
1733 S Milford Rd
Highland, MI 48357-4870
Phone (248) 887-3300
Other providers in Highland, MI
- A Sense of Autism
- Advanced House Calls, LLC
- Age With Grace Senior Care
- Georgina Ajami
- Nassir Al-Bassam
- Antoinette Peterson,LLC
- Amy Assenmacher
- Lynne M Augustine
- Michelle Baker
- Lynn Balaka
All providers in Highland, MI · General Practice Dentistry in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.