Robert Borowiec, D.D.S.

Individual provider Active NPI General Practice Dentistry · South Lyon, MI

NPI 1720125818 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1720125818
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
2901012893 (MI)
Practice address
201 S Lafayette St
South Lyon, MI 48178-1405
Phone
(248) 437-4119
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2901012893MIMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901012893 MI Yes

Addresses

Primary practice location

201 S Lafayette St
South Lyon, MI 48178-1405

Mailing address

10697 Cliffview Dr
South Lyon, MI 48178-9292

Other providers in South Lyon, MI

All providers in South Lyon, MI · General Practice Dentistry in Michigan

Sources for this page

Verify at the official NPI Registry.