Individual
DR. ROBERT W RENGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
510 W 32ND ST, JOPLIN, MO 64804-2531
(417) 781-6700
(417) 781-6703
Mailing address
510 W 32ND ST, JOPLIN, MO 64804-2531
(417) 781-6700
(417) 781-6703
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2002011660
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46-0860664
TAX ID
MO
Enumeration date
02/22/2006
Last updated
01/10/2013
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