Dr. Randy James Breen , DDS
Dentist - General Practice • Grand Rapids, MI
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Randy Breen has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Randy Breen, DDS was a registered Dentist - General Practice practicing in Grand Rapids, MI. Throughout an active medical career spanning 1 years, Dr. Breen provided care at the practice location at 515 LAKESIDE DR SE until profile deactivation on 2006-03-18.
Practice Location & Contact Primary Location
515 Lakeside Dr Se
#208
Grand Rapids, MI 495062931
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Grand Rapids, MI
Practicing in Grand Rapids, MI (4360 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Ophthalmology
Doctor of Medicine (M.D.), PC
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 515 LAKESIDE DR SE, #208, GRAND RAPIDS, MI 495062931 (Tel: 6164549091)
Registered at 2435 ROLLING MEADOW DR NE, BELMONT, MI 493069332 (Tel: 6168639515)
Recorded as RANDY BREEN, D.D.S.
Dentist (License #2901014055 in MI)
Record officially reactivated for active practice on March 24, 2006
Record deactivated on March 18, 2006
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
2435 Rolling Meadow Dr Ne
Belmont, MI 493069332
Phone: 6168639515
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