# BRUCE T. ROACH, D.D.S., P.C.

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

## Provider details

- **NPI number:** 1427459049
- **Authorized official:** MS. LORI ARNOLD (OFFICE COORDINATOR)
- **Authorized official phone:** (248) 673-2400

## Contact information

- **Practice address:** 5270 HIGHLAND RD, WATERFORD, MI 48327-1913
- **Practice address phone:** (248) 673-2400
- **Practice address fax:** (248) 673-8663
- **Mailing address:** 5270 HIGHLAND RD, WATERFORD, MI 48327-1913
- **Mailing address phone:** (248) 673-2400
- **Mailing address fax:** (248) 673-8663

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12916 | MI | Yes |
| 1223G0001X | General Practice Dentistry | 20149 | MI | — |

## Other

- **Enumeration date:** 09/15/2014
- **Last updated:** 09/15/2014