Robert M Hale, DDS
Individual provider Active NPI Public Health Dentistry · Davison, MI
NPI 1164565065 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1164565065
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Public Health Dentistry 1223D0001X
- License
- 12494 (MI)
- Practice address
- 8379 Davison Rd
Suite a
Davison, MI 48423-2002 - Phone
- (810) 653-7120
- Fax
- (810) 653-3157
- NPI assigned
- Feb 14, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150302001270 | MI | Order and Referring Only - Oral Surgery |
1951627330 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12494 | MI | MD | Public Health Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ae Dental PLLC | Past |
Accepting new patients | |
| Robert M Hale DDS PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | 12494 | MI | Yes |
Addresses
Primary practice location
8379 Davison Rd
Suite a
Davison, MI 48423-2002
Mailing address
8379 Davison Rd
Suite a
Davison, MI 48423-2002
Phone (810) 653-7120
Other providers in Davison, MI
- Laith F. Gulli
- Suresh C Gupta
- Ceasar Agustin Gutierrez
- H&R Acquisitions Group LLC
- H2G Dental PLLC
- Hamtramck Orthopedic Physical Therapy, Inc.
- Harriet Hanchett
- Misty Mae Christina Hankin
- Stephanie L Harris
- Timothy R Harris
All providers in Davison, MI · Public Health Dentistry in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.