# ROBERT B FELSENFELD DDS PC

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

## Provider details

- **NPI number:** 1457523714
- **Authorized official:** DR. ROBERT B FELSENFELD DDS (PRESIDENT)
- **Authorized official phone:** (313) 562-1515

## Contact information

- **Practice address:** 22731 NEWMAN ST, SUITE 240, DEARBORN, MI 48124-3852
- **Practice address phone:** (313) 562-1515
- **Practice address fax:** (313) 562-7439
- **Mailing address:** 22731 NEWMAN ST, SUITE 240, DEARBORN, MI 48124-3852
- **Mailing address phone:** (313) 562-1515
- **Mailing address fax:** (313) 562-7439

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 2901013449 | MI | Yes |

## Other

- **Enumeration date:** 03/27/2008
- **Last updated:** 05/05/2010