Robert D Plambeck, DDS
Individual provider Active NPI General Practice Dentistry · Muskegon Heights, MI
NPI 1841302452 · NPPES record last updated Oct 18, 2012
Key facts
- NPI
- 1841302452
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 14316 (MI)
- Practice address
- 2700 Baker St
3Rd Floor
Muskegon Heights, MI 49444-2157 - Phone
- (231) 737-8603
- Fax
- (231) 737-9012
- NPI assigned
- Aug 31, 2006
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 14316 | MI | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 14316 | MI | Yes |
Addresses
Primary practice location
2700 Baker St
3Rd Floor
Muskegon Heights, MI 49444-2157
Mailing address
2700 Baker St
3Rd Floor
Muskegon Heights, MI 49444-2157
Phone (231) 737-8603
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 88144 | Other | MI | DELTA |
| 00D8002810 | Other | MI | BCBS |
| 4129245 | Medicaid | MI |
Other providers in Muskegon Heights, MI
- Pamela Marie Montgomery
- Ashlynne Ann Muckey
- Marion Lucille Oakes
- Pattersons Drug Stores Inc
- Tanya Phillips
- Marilynn Post
- Keon Rick
- Beverly Riley
- Sara Jo Rivera
- Catrina Rule
All providers in Muskegon Heights, MI · General Practice Dentistry in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.