Provider Demographics
NPI:1679187645
Name:ROBERT G PRIEUR DDS PLC
Entity Type:Organization
Organization Name:ROBERT G PRIEUR DDS PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:PRIEUR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:586-263-4140
Mailing Address - Street 1:42450 GARFIELD RD STE C
Mailing Address - Street 2:
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-5040
Mailing Address - Country:US
Mailing Address - Phone:586-263-4140
Mailing Address - Fax:586-263-1179
Practice Address - Street 1:42450 GARFIELD RD STE C
Practice Address - Street 2:
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48038-5040
Practice Address - Country:US
Practice Address - Phone:586-263-4140
Practice Address - Fax:586-263-1179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-07
Last Update Date:2020-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental