DR. RICHARD ROBERT BAGDASARIAN DDS NPI 1720102411

NPI Information

  • NPI: 1720102411
  • Provider Name: DR. RICHARD ROBERT BAGDASARIAN, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6161 ORCHARD LAKE RD
    SUITE 101
    WEST BLOOMFIELD, MI
    ZIP 48322
  • Phone: (248) 855-5212

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NPI Details

DR. Richard Robert Bagdasarian, DDS is a general practice dentist in West Bloomfield, MI. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Richard Robert Bagdasarian, DDS NPI is 1720102411. 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:

6161 ORCHARD LAKE RD
SUITE 101
WEST BLOOMFIELD, MI
ZIP 48322-384
Phone: (248) 855-5212
Fax: (248) 855-3529

The NPI 1720102411 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).

The enumeration date for this NPI number is 3/19/2007 and was last updated on 10/11/2016.

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
11223G0001XDentistGeneral Practice17748MICHIGANYes

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: 11/21/2025

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