Active NPI
R.L. & T.J. McIntosh D.D.S.
- General Practice Dentistry
- Ann Arbor, MI
National Provider Identifier
1639103641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 16084
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 15619 | MI | |
| General Practice Dentistry | 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 DirectoryLocations
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.
-
- General Practice Dentistry
- Ann Arbor, MI
- NPI 1245356195
-
- General Practice Dentistry
- Ann Arbor, MI
- NPI 1578689410
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.