Robert C Lum DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901008406 Issued in MI

Legal business name

ROBERT C LUM DDS PC

Practice address

8512 Miller Rd
Swartz Creek, MI 48473-1250

Phone

(810) 635-9406

Fax

(810) 635-2942

NPI assigned

Mar 28, 2017

Last updated

Mar 28, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert C Lum, DDSNPI 1821179193

Title

Owner

Phone

(810) 635-9406

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert C Lum, D.D.S.

  • General Practice Dentistry
  • Swartz Creek, MI
  • NPI 1821179193
  NPD (past) Authorized official

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1568994838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8512 MILLER RD",
            "city": "SWARTZ CREEK",
            "state": "MI",
            "postal_code": "484731250",
            "telephone_number": "810-635-9406",
            "fax_number": "810-635-2942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8512 MILLER RD",
            "city": "SWARTZ CREEK",
            "state": "MI",
            "postal_code": "484731250",
            "telephone_number": "810-635-9406",
            "fax_number": "810-635-2942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT C LUM DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-28",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "LUM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-635-9406",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901008406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Swartz Creek, MI
• Providers in Swartz Creek, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.