# ROESER DENTAL ASSOCIATES PC

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

## Provider details

- **NPI number:** 1235101841
- **Authorized official:** DR. JEFFERY L ROESER DDS (SECRETARY)
- **Authorized official phone:** (248) 620-6800

## Contact information

- **Practice address:** 6770 DIXIE HWY, STE 307, CLARKSTON, MI 48346
- **Practice address phone:** (248) 620-6800
- **Practice address fax:** (248) 620-6805
- **Mailing address:** 6770 DIXIE HWY, STE 307, CLARKSTON, MI 48346
- **Mailing address phone:** (248) 620-6800
- **Mailing address fax:** (248) 620-6805

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 16742 | MI | — |
| 122300000X | Dentist | 8615 | MI | Yes |
| 122300000X | Dentist | 9453 | MI | — |

## Other

- **Enumeration date:** 02/07/2006
- **Last updated:** 08/22/2020