Organization Active NPI

Bruce F Hubbard DDS PC

  • Dentist
  • Waterford, MI
National Provider Identifier
1699726935
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
BRUCE F HUBBARD DDS PC
Practice address
4025 Highland Rd
Waterford, MI 48328-2134
Phone
(248) 682-6010
Fax
(248) 682-6024
NPI assigned
May 12, 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. Michael Gerard Nassar, DDS
Title
Vice President
Phone
(248) 682-6010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

4025 Highland Rd
Waterford, MI 48328-2134

Mailing address

4025 Highland Rd
Waterford, MI 48328-2134
Phone (248) 682-6010

Other names 1

  • Hubbard & Nassar DDS PC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699726935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483282134",
            "telephone_number": "248-682-6010",
            "fax_number": "248-682-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483282134",
            "telephone_number": "248-682-6010",
            "fax_number": "248-682-6024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE F HUBBARD DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NASSAR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "248-682-6010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hubbard & Nassar DDS PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waterford, 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.