OrganizationActive
Renaissance Dental PC
NPI 1205030277 · General Practice Dentistry · Detroit, MI
Renaissance Dental PC is a General Practice Dentistry organization in Detroit, MI (NPI 1205030277).
Provider details
- NPI number
- 1205030277
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Wallace Walker, Dentist(313) 340-9293
- License
- 12881 (MI)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7330 W Warren Ave
Detroit, MI 48210-1041
Phone: (313) 340-9293
Fax: (313) 340-9293
Street-level locationGet directions
Mailing address
7330 W Warren Ave
Detroit, MI 48210-1041
Registry dates
- Enumerated
- 2007-06-13
- Last updated
- 2020-08-22
Frequently asked questions
- What is Renaissance Dental PC's NPI number?
- Renaissance Dental PC's National Provider Identifier (NPI) is 1205030277, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Renaissance Dental PC?
- Renaissance Dental PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Renaissance Dental PC located?
- Renaissance Dental PC's practice location on file with NPPES is 7330 W Warren Ave, Detroit, MI 48210-1041.
- What is Renaissance Dental PC's phone number?
- The practice phone number listed in the NPPES registry for Renaissance Dental PC is (313) 340-9293.
- Who is the authorized official for Renaissance Dental PC?
- The authorized official listed on Renaissance Dental PC's NPPES record is Wallace Walker, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Renaissance Dental PC's NPI active?
- Yes — Renaissance Dental PC's NPI (1205030277) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.