GREGG S RESNICK DDS; NPI #1366957862

Contact Information

GREGG S RESNICK DDS

110 ARBOR LN
ALPENA, MI 49707-1302

Phone: 989-354-4884
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oral and Maxillofacial Surgery	261QS0112X

Indicates primary specialty

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NPI Profile & details for GREGG S RESNICK DDS

NPI Number 1366957862

LBN Legal business name GREGG S RESNICK DDS

Authorized official GREGG RESNICK - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/06/2017

Last updated 12/06/2017 - About 9 years ago

Identifiers

MI	License #	2901013806
MI	Medicaid	1740294784

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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