Individual provider Active NPI

Robert G. Prieur, D.D.S.

  • General Practice Dentistry
  • Clinton Township, MI
National Provider Identifier
1699849075
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901014127 Issued in MI
Practice address
42450 Garfield Rd
Suite C
Clinton Township, MI 48038-5040
Phone
(586) 263-4140
Fax
(586) 263-1179
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901014127 MI Primary

Addresses

Primary practice location

42450 Garfield Rd
Suite C
Clinton Township, MI 48038-5040

Mailing address

3645 Hollenshade Dr
Rochester Hills, MI 48306-3725
Phone (248) 340-0413

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Robert G Prieur DDS PLC CurrentSince Sep 13, 2020 Accepting new patients

Locations

42450 Garfield Rd
Ste C
Clinton Township, MI 48038
Phone (586) 263-4140

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699849075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 HOLLENSHADE DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483063725",
            "telephone_number": "248-340-0413",
            "fax_number": "248-340-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42450 GARFIELD RD",
            "address_2": "SUITE C",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480385040",
            "telephone_number": "586-263-4140",
            "fax_number": "586-263-1179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIEUR",
        "first_name": "ROBERT",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901014127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.