Search › Michigan › 1223G0001X
Randy Breen, D.D.S
NPI 1003815655 · on the registry since 2005
Practice
- Address
- 515 Lakeside Dr Se
#208
Grand Rapids, MI 49506 - Phone
- (616) 454-9091
- Fax
- (616) 454-1159
- Organisation at this address
- Thomas A Malec Md Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan