Dr. Scott E Redwantz, D.D.S.
Dentist, General Practice in Caseville, MI. Individual provider (NPI-1).
NPI number1528047263
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1528047263
- Entity type
- Individual (NPI-1)
- Name
- Dr. Scott E Redwantz
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 11, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 15627 | MI | Yes |
Practice location
6982 Main StCaseville, MI 48755
Phone 989-856-4096
Mailing address
Po Box 2796982 Main St
Caseville, MI 48755
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