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NPI Code Detail

MEDICARE: DR. ROBERT G. PRIEUR D.D.S.

MEDICARE:  DR. ROBERT G. PRIEUR  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry2901014127MI

General Provider Information

NPI Number : 1699849075
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT G. PRIEUR D.D.S.
Provider Business Mailing Address
First Line : 3645 HOLLENSHADE DR
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48306-3725
Country : US
Telephone Number : 248-340-0413
Fax Number : 248-340-0476
Provider Business Practice Location Address
First Line : 42450 GARFIELD RD
Second Line : SUITE C
City : CLINTON TOWNSHIP
State : MI
Zip : 48038-5040
Country : US
Telephone Number : 586-263-4140
Fax Number : 586-263-1179
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2006
Last Update Date : 07/08/2007

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