Robert L. Tar DDS PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

11637 Issued in MI

Legal business name

ROBERT L. TAR DDS PLLC

Practice address

2340 E Stadium Blvd Ste 6
Ann Arbor, MI 48104-4823

Phone

(313) 994-5353

NPI assigned

Oct 16, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert L Tar, DDS

Title

Dental Director

Phone

(734) 994-5353

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255651200000",
    "number": "1053646513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 E STADIUM BLVD STE 6",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044823",
            "telephone_number": "313-994-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 E STADIUM BLVD STE 6",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044823",
            "telephone_number": "313-994-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L. TAR DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-16",
        "last_updated": "2009-10-16",
        "status": "A",
        "authorized_official_last_name": "TAR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTAL DIRECTOR",
        "authorized_official_telephone_number": "734-994-5353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "11637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chad Michael Roberts, CRNA
• Donald J Roberts

• Dental Clinic/Center in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.