# ROBERT W. JANSEN DDS & ASSOCIATES PC

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

## Provider details

- **NPI number:** 1245949221
- **Authorized official:** DR. ROBERT W JANSEN DDS (PRESIDENT)
- **Authorized official phone:** (989) 292-0771

## Contact information

- **Practice address:** 923 N. OAKLAND STREET, ST. JOHNS, MI 48879
- **Practice address phone:** (989) 224-2968
- **Practice address fax:** (989) 224-2474
- **Mailing address:** 923 N. OAKLAND STREET, ST. JOHNS, MI 48879
- **Mailing address phone:** (989) 224-2968
- **Mailing address fax:** (989) 224-2474

## Taxonomy

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

## Other

- **Enumeration date:** 11/18/2022
- **Last updated:** 11/18/2022