Provider Demographics
NPI:1124090055
Name:RYBICKI, ROBERT MICHAEL (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:MICHAEL
Last Name:RYBICKI
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
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Mailing Address - Street 1:21580 NOVI RD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-5604
Mailing Address - Country:US
Mailing Address - Phone:248-735-8700
Mailing Address - Fax:248-735-8733
Practice Address - Street 1:21580 NOVI RD
Practice Address - Street 2:SUITE 250
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-5600
Practice Address - Country:US
Practice Address - Phone:248-735-8700
Practice Address - Fax:248-735-8733
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI0161481223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics