Individual
DR. ROBERT F SONNTAG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4400 FASHION SQUARE BLVD, SAGINAW, MI 48603-1251
(989) 790-3357
(989) 790-3443
Mailing address
4400 FASHION SQUARE BLVD, P O BOX 5795, SAGINAW, MI 48603-1251
(989) 790-3357
(989) 790-3443
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12157
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12157
STATE LICENSE #
MI
05
—
2915010
—
MI
01
—
D1215706
BCBS DENTAL PROVIDER #
MI
Enumeration date
02/22/2006
Last updated
07/09/2007
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