Individual ProviderRobert Jay AultDentistDental ProvidersPractice Address2365 S Huron Pkwy, Ann Arbor, MI 48104-5156(734) 677-8700PECOS EnrollmentBased on the most recent information from CMS, provider Robert Jay Ault does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1194344580Provider TypeIndividualFull NameAult, Robert JayTitleDr.CredentialDDSGenderMaleSole ProprietorYesEnumeration Date4/15/2020Last Updated8/1/2022Contact InformationPractice LocationPractice Address2365 S Huron Pkwy, Ann Arbor, MI 48104-5156Phone(734) 677-8700Fax(734) 839-4137Mailing LocationMailing Address2365 S Huron Pkwy, Ann Arbor, MI 48104-5156Phone(734) 677-8700Fax(734) 839-4137Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicense2901600453MichiganCode1223G0001XDescriptionDentistDental ProvidersLicense2901600453AMichigan