Renaissance Dental of Ypsilanti PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

015814 Issued in MI

Legal business name

RENAISSANCE DENTAL OF YPSILANTI PC

Practice address

2076 Whittaker Rd
Ypsilanti, MI 48197-8238

Phone

(734) 485-0815

NPI assigned

Jun 5, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Zolton Campbell, DDS

Title

Dentist

Phone

(734) 485-0815

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720280233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2076 WHITTAKER RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481978238",
            "telephone_number": "734-485-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2076 WHITTAKER RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481978238",
            "telephone_number": "734-485-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE DENTAL OF YPSILANTI PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "ZOLTON",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "734-485-0815",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "015814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha H Reincke, M.D.
• Debra Reish-Mitchell
• Christina Reji, MD
• Relevant Notations Consulting LLC
• Reliant Medical Consulting PC
• Renaissance House Inc.
• Renal Treatment Centers-Illinois Inc (Ypsilanti Dialysis)
• David A Renken, MD
• Evan Renn
• Jennifer Rennie, LMSW

• General Practice Dentistry in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• General Practice Dentistry 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.