Organization Active NPI

R.L. & T.J. McIntosh D.D.S.

  • General Practice Dentistry
  • Ann Arbor, MI
National Provider Identifier
1639103641
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16084 Issued in MI
Legal business name
R.L. & T.J. MCINTOSH D.D.S.
Practice address
3250 Plymouth Rd
Suite 301
Ann Arbor, MI 48105-2592
Phone
(734) 769-2707
Fax
(734) 769-0298
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Rebecca Lynn McIntosh, D.D.S.
Title
Co-Owner
Phone
(734) 769-2708

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 15619 MI
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 16084 MI Primary

Addresses

Primary practice location

3250 Plymouth Rd
Suite 301
Ann Arbor, MI 48105-2592

Mailing address

3250 Plymouth Rd
Suite 301
Ann Arbor, MI 48105-2592
Phone (734) 769-2707

National Provider Directory

National Provider Directory

Locations

3250 Plymouth Rd
Ste 301
Ann Arbor, MI 48105
Phone (734) 769-2707

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639103641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 PLYMOUTH RD",
            "address_2": "SUITE 301",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481052592",
            "telephone_number": "734-769-2707",
            "fax_number": "734-769-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 PLYMOUTH RD",
            "address_2": "SUITE 301",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481052592",
            "telephone_number": "734-769-2707",
            "fax_number": "734-769-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R.L. & T.J. MCINTOSH D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCINTOSH",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "734-769-2708",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "15619",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "16084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.