# ROBERT BRUCE MACINTOSH D.D.S., P.C.

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

## Provider details

- **NPI number:** 1649371543
- **Authorized official:** DR. ROBERT BRUCE MACINTOSH D.D.S. (PRESIDENT)
- **Authorized official phone:** (248) 642-2115

## Contact information

- **Practice address:** 31100 TELEGRAPH RD, SUITE 100, BINGHAM FARMS, MI 48025-4363
- **Practice address phone:** (248) 642-2115
- **Practice address fax:** (248) 642-6387
- **Mailing address:** 31100 TELEGRAPH RD, SUITE 100, BINGHAM FARMS, MI 48025-4363
- **Mailing address phone:** (248) 642-2115
- **Mailing address fax:** (248) 642-6387

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 007491 | MI | Yes |

## Other

- **Enumeration date:** 09/26/2006
- **Last updated:** 01/03/2008