# ROBERT J STEVENSON DDS PC

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

## Provider details

- **NPI number:** 1144589003
- **Authorized official:** DR. ROBERT J STEVENSON D.D.S. (OWNER DENTIST)
- **Authorized official phone:** (734) 994-0909

## Contact information

- **Practice address:** 828 W HURON ST, ANN ARBOR, MI 48103-4214
- **Practice address phone:** (734) 994-0909
- **Mailing address:** 828 W HURON ST, ANN ARBOR, MI 48103-4214
- **Mailing address phone:** (734) 994-0909

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901018803 | MI | Yes |
| 124Q00000X | Dental Hygienist | 2902009162 | MI | — |
| 124Q00000X | Dental Hygienist | 2902014363 | MI | — |

## Other

- **Enumeration date:** 05/14/2012
- **Last updated:** 05/14/2012