# ROBERT REISIG DDS PC

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

## Provider details

- **NPI number:** 1568423689
- **Authorized official:** DR. ROBERT OGDEN REISIG DDS (PRESIDENT)
- **Authorized official phone:** (810) 329-3111

## Contact information

- **Practice address:** 1820 SINCLAIR ST, SUITE B, ST CLAIR, MI 48079
- **Practice address phone:** (810) 329-3111
- **Practice address fax:** (810) 329-3188
- **Mailing address:** 1820 SINCLAIR ST, SUITE B, ST CLAIR, MI 48079
- **Mailing address phone:** (810) 329-3111
- **Mailing address fax:** (810) 329-3188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901012230 | MI | Yes |

## Other

- **Enumeration date:** 03/29/2006
- **Last updated:** 08/22/2020