# BRUCE F HUBBARD DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hubbard & Nassar DDS PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699726935
- **Authorized official:** DR. MICHAEL GERARD NASSAR DDS (VICE PRESIDENT)
- **Authorized official phone:** (248) 682-6010

## Contact information

- **Practice address:** 4025 HIGHLAND RD, WATERFORD, MI 48328-2134
- **Practice address phone:** (248) 682-6010
- **Practice address fax:** (248) 682-6024
- **Mailing address:** 4025 HIGHLAND RD, WATERFORD, MI 48328-2134
- **Mailing address phone:** (248) 682-6010
- **Mailing address fax:** (248) 682-6024

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 05/12/2006
- **Last updated:** 08/22/2020