institution
Robert Bruce Macintosh D.d.s., P.c.
Oral and Maxillofacial Surgery (Dentist) in Bingham Farms, Michigan
NPI 1649371543

Robert Bruce Macintosh D.d.s., P.c. is a Oral and Maxillofacial Surgery (Dentist) based in Bingham Farms, MI and is specialized in Oral and Maxillofacial Surgery. Robert Bruce Macintosh D.d.s., P.c. practices in Bingham Farms, MI. The NPI Number for Robert Bruce Macintosh D.d.s., P.c. is 1649371543 and holds a License No. 007491 (Michigan).

The current practice location address for Robert Bruce Macintosh D.d.s., P.c. is 31100 Telegraph Rd, Bingham Farms, MI and can be reached out via phone at 248-642-2115 and via fax at 248-642-6387. You can also correspond with Robert Bruce Macintosh D.d.s., P.c. through the mailing address at 31100 TELEGRAPH RD, BINGHAM FARMS, MI - 48025-4363 (mailing address contact number: 248-642-2115).

Location: 31100 Telegraph Rd, Bingham Farms, MI, 48025-4363
institution
Provider Profile Details
NPI Number
1649371543
Provider Name
Robert Bruce Macintosh D.d.s., P.c.
Credential
Provider Entity Type
Organization
Address
31100 Telegraph Rd, Bingham Farms, MI, 48025-4363
Phone Number
248-642-2115
Fax Number
248-642-6387
Provider Enumeration Date
09/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4007538 01 MI MEDICAID DENTAL
2996322 05 MI
institution
Provider Business Practice Location Address Details
Address
31100 Telegraph Rd
City
State
Zip
48025-4363
Phone Number
248-642-2115
Fax Number
248-642-6387
person
Provider Business Mailing Address Details
Address
31100 Telegraph Rd
City
State
Zip
48025-4363
Phone Number
248-642-2115
Fax Number
248-642-6387
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
007491 (Michigan)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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