# ROBERT G. NAKISHER, D.D.S., P.L.L.C

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LakeView Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104240415
- **Authorized official:** DR. ROBERT G NAKISHER D.D.S. (OWNER)
- **Authorized official phone:** (248) 363-3304

## Contact information

- **Practice address:** 7010 PONTIAC TRL, WEST BLOOMFIELD, MI 48323-2017
- **Practice address phone:** (248) 363-3304
- **Practice address fax:** (248) 363-0814
- **Mailing address:** 7010 PONTIAC TRL, WEST BLOOMFIELD, MI 48323-2017
- **Mailing address phone:** (248) 363-3304
- **Mailing address fax:** (248) 363-0814

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 15650 | MI | — |
| 1223G0001X | General Practice Dentistry | 16085 | MI | Yes |
| 1223G0001X | General Practice Dentistry | 9918 | MI | — |
| 1223P0300X | Periodontics | 19162 | MI | — |

## Other

- **Enumeration date:** 02/06/2014
- **Last updated:** 02/06/2014