# RANDY L BISPING DDS MS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174892772
- **Authorized official:** DR. RANDY LEE BISPING D.D.S.M.S.P.C. (ORAL SURGEON)
- **Authorized official phone:** (231) 739-1215

## Contact information

- **Practice address:** 3579 HENRY ST, SUITE 140, NORTON SHORES, MI 49441-6720
- **Practice address phone:** (231) 739-1215
- **Practice address fax:** (231) 737-2347
- **Mailing address:** 3579 HENRY ST, SUITE 140, NORTON SHORES, MI 49441-6720
- **Mailing address phone:** (231) 739-1215
- **Mailing address fax:** (231) 737-2347

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 2901014916 | MI | Yes |

## Other

- **Enumeration date:** 12/28/2011
- **Last updated:** 03/13/2012