Provider Demographics
NPI:1285023945
Name:RICHARD J. RESLER, DMD, MSD, PLC
Entity Type:Organization
Organization Name:RICHARD J. RESLER, DMD, MSD, PLC
Other - Org Name:RESLER ORTHODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:RESLER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:989-799-5574
Mailing Address - Street 1:5545 COLONY DR N STE 2
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48638-7188
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5545 COLONY DR N STE 2
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48638-7188
Practice Address - Country:US
Practice Address - Phone:989-799-5574
Practice Address - Fax:989-799-5553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-20
Last Update Date:2015-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010193081223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty