Organization
OFFICE 5 PLLC
Active
Other names
South Lyon Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL LOREN SHAW DDS, MS (OWNER)
(248) 931-1151
Entity
Organization
Contact information
Practice address
201 S LAFAYETTE ST, SOUTH LYON, MI 48178-1405
(248) 437-4119
Mailing address
350 PINE RIDGE DR, BLOOMFIELD HILLS, MI 48304-2139
(248) 931-1151
(248) 594-2221
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us