Individual provider · NPI-1

Dr. Robert Jay Ault, DDS

Dentist, Endodontics · Lansing, MI

NPI number1194344580
StatusActive
Last updated in NPPESMay 18, 2026

Details

NPI
1194344580
Entity type
Individual (NPI-1)
Name
Dr. Robert Jay Ault
Credential
DDS
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 15, 2020
Certification date
May 18, 2026
Last updated
May 18, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223E0200X Dentist, Endodontics2901600453MIYes
1223G0001X Dentist, General Practice2901600453MI
1223P0700X Dentist, Prosthodontics2901600453MI

Practice location

6105 W St Joe Hwy Ste 203
Lansing, MI 48917-4850

Phone 517-351-0800 · Fax 517-220-2172

Mailing address

6105 W St Joe Hwy Ste 203
Lansing, MI 48917-4850

Phone 517-351-0800 · Fax 517-220-2172

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