Provider Demographics
NPI:1376975334
Name:RESLER, RICHARD JR (DMD, MS)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:
Last Name:RESLER
Suffix:JR
Gender:M
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5545 COLONY DR N
Mailing Address - Street 2:SUITE #2
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48638-7188
Mailing Address - Country:US
Mailing Address - Phone:989-799-5574
Mailing Address - Fax:989-799-5553
Practice Address - Street 1:5545 COLONY DR N
Practice Address - Street 2:SUITE #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
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-01
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010193081223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics