Dr. Fred Taylor Renick , DDS
Dentist - General Practice • Martinsville, VA
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. Fred Renick has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Fred Renick, DDS was a registered Dentist - General Practice practicing in Martinsville, VA. Throughout an active medical career spanning 12 years, Dr. Renick provided care at the practice location at 604 E CHURCH ST until profile deactivation on 2018-06-19.
Practice Location & Contact Primary Location
604 E Church St
Martinsville, VA 241123008
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Martinsville, VA
Practicing in Martinsville, VA (3535 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
Dentist - General Practice
Doctor of Dental Surgery
Dentist
Doctor of Dental Surgery
Dentist - General Practice
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 19, 2018
NPI status registered as active in NPPES database
Registered at 604 E CHURCH ST, MARTINSVILLE, VA 241123008 (Tel: 2766322835)
Registered at 224 RIVES RD, MARTINSVILLE, VA 241123829 (Tel: 2766329301)
Recorded as FRED RENICK, D.D.S.
Dentist (License #0401003772 in VA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
224 Rives Rd
Martinsville, VA 241123829
Phone: 2766329301
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