Healthcare Provider Details

I. General information

NPI: 1609850361
Provider Name (Legal Business Name): ROBERT F. MAJEWSKI D.D.S., M.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 12/05/2005
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

806 TUURI PLACE MOTT CHILDREN'S HEALTH CENTER
FLINT MI
48503
US

IV. Provider business mailing address

39080 REO DR
LIVONIA MI
48154-1022
US

V. Phone/Fax

Practice location:
  • Phone: 810-244-8274
  • Fax: 810-768-7584
Mailing address:
  • Phone: 734-591-6668
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number2901015500
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: