Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Renaissance Dental PC

Organization General Practice Dentistry · NPI 1205030277

Renaissance Dental PC is a General Practice Dentistry in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7330 W Warren Ave
Detroit, MI 48210-1041
Phone: (313) 340-9293
Fax: (313) 340-9293
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 12881 (MI)

Record details

NPI number1205030277
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wallace Walker — Dentist · (313) 340-9293
NPI enumeratedJune 13, 2007
Last updated in NPPESAugust 22, 2020
Mailing address7330 W Warren Ave, Detroit, MI 48210-1041

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