DR. ROBERT C. JOHN D.D.S. M.D. NPI 1598765604

NPI Information

NPI: 1598765604
Provider Name: DR. ROBERT C. JOHN, D.D.S., M.D.
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Organization: SEVEN OAKS PROFESSIONAL, PLLC

PECOS Registration: Yes

Address:
25916 DEQUINDRE RD
WARREN, MI
ZIP 48091
Phone: (586) 755-2770
Get Directions

DR. Robert C. John, D.D.S., M.D. is an oral and maxillofacial surgery dentist in Warren, MI with 29 years of experience. The provider is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Robert C. John, D.D.S., M.D. NPI is 1598765604. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

25916 DEQUINDRE RD
WARREN, MI
ZIP 48091-112
Phone: (586) 755-2770
Fax: (586) 755-1690

The NPI 1598765604 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/29/2005 and was last updated on 4/8/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223S0112X	Dentist	Oral and Maxillofacial Surgery	2901017024	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	U93813	OTHER	MICHIGAN	HAP
2	RJ017024	OTHER		COMMERCIAL-COMMERCIAL NUMBER
3	RJ017024	OTHER		CHAMPUS-CHAMPUS
4	U93813	MEDICARE UPIN
5	P53640002	MEDICARE PIN
6	9755066630	OTHER	MICHIGAN	BLUE CROSS BLUE SHIELD
7	7164521	OTHER		AETNA
8	147805	OTHER	MICHIGAN	GREAT LAKES HEALTH PLAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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