# ROBERT L HOUGHTALING JR DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093252280
- **Authorized official:** DR. ROBERT LOUIS HOUGHTALING JR. DDS (OWNER)
- **Authorized official phone:** (269) 962-1536

## Contact information

- **Practice address:** 3003 W DICKMAN RD, SPRINGFIELD, MI 49037-7964
- **Practice address phone:** (269) 962-1536
- **Practice address fax:** (269) 962-1950
- **Mailing address:** 3003 W DICKMAN RD, SPRINGFIELD, MI 49037-7964
- **Mailing address phone:** (269) 962-1536
- **Mailing address fax:** (269) 962-1950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2901015129 | MI | Yes |

## Other

- **Enumeration date:** 01/25/2017
- **Last updated:** 01/25/2017