ANN ARBOR DENTAL SPECIALISTS (NPI# 1003308511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003308511 |
| Entity Type | Organization |
| Organization Name | ANN ARBOR DENTAL SPECIALISTS |
| Practice Address |
3100 Eisenhower Parkway Suite 200 Ann Arbor MI 48108 |
| Practice Telephone | 7349713368 |
| Practice Fax Number | 7349713979 |
| Mailing Telephone | 7349713368 |
| Mailing Fax Number | 7349713979 |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2018-05-31 |
| Authorized Official Name | DR. ELIZABETH BARBER (OWNER) |
| Authorized Official Telephone | 7349713368 |
| Authorized Official Credential | D.D.S., M.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
2901019552 | MI | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
2901020165 | MI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306014816 | Ann Arbor Dental Specialists | Dentist | 3100 E Eisenhower Pkwy, Suite 200, Ann Arbor, MI 48108-5205 | 2008-02-19 |
| Street Address |
3100 EISENHOWER PARKWAY SUITE 200 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750999249 | Creating Brighter Futures | Behavioral Analyst | 4201 Varsity Drive, Ste. C, Ann Arbor, MI 48108 | 2020-07-21 |
| 1326506320 | Michelle Bishop | Behavior Technician | 4935 Birch Hollow Dr, Ann Arbor, MI 48108 | 2019-03-08 |
| 1407326077 | Alexis Ewald | Behavior Technician | 2770 Carpenter Rd., Ann Arbor, MI 48108 | 2018-11-27 |
| 1144719295 | Jonathan Parker Etter | Physical Medicine & Rehabilitation | 325 E. Eisenhower, Suite 300, Spc 5744, Ann Arbor, MI 48108 | 2018-05-04 |
| 1427555895 | Blossom Health Services LLC | Social Worker | 2156 Glencoe Hills Dr Apt 12, Ann Arbor, MI 48108 | 2018-04-11 |
| 1669974580 | Camron Anthony Moorehead | Occupational Therapist | 400 E. Eisenhower Parkway Bldg 2, Ste A, Ann Arbor, MI 48108 | 2018-03-07 |
| 1396247862 | Crystal Ann D'agostino | Health Educator | 1169 Oak Valley Drive, Ann Arbor, MI 48108 | 2018-03-01 |
| 1538671250 | Miea Moon | Psychologist | 3200 E Eisenhower Parkway, Moriah Hall, Ann Arbor, MI 48108 | 2017-11-03 |
| 1003355546 | Rachael Connolly | Behavior Technician | 4201 Varsity Drive Suite C, Ann Arbor, MI 48108 | 2017-02-16 |
| 1811430895 | Mackenzie Takessian | Social Worker | 2140 E Ellsworth, Ann Arbor, MI 48108 | 2016-11-23 |
| Find all providers in zip 48108 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699894576 | Raymond Anthony Maturo | Dentist | 2074 S Main St, Ann Arbor, MI 48103-6962 | 2007-03-29 |
| 1982685590 | Kay Louise Wilson | Dentist | 1303 Packard St, Suite #301, Ann Arbor, MI 48104-3874 | 2005-11-10 |
| 1144768904 | Rosemary K Tran | Dentist | 1011 N University Ave, Ann Arbor, MI 48109-1078 | 2017-02-01 |
| 1114300811 | Ann Arbor Pediatric Dentistry Pllc | Dentist | 2074 S Main St, Ann Arbor, MI 48103-6962 | 2015-06-30 |
| 1043608003 | Tree Town Pediatric Dentistry Pllc | Dentist | 1303 Packard St, Suite #301, Ann Arbor, MI 48104-3874 | 2014-12-29 |
| 1427461383 | Heather Marie Hoffman | Dentist | 1795 W Stadium Blvd, Ann Arbor, MI 48103-5290 | 2014-06-09 |
| 1780006965 | Max Louis Auer | Dentist | 2074 S Main St, Ann Arbor, MI 48103-5827 | 2014-01-07 |
| 1730520214 | Harneet Grewal | Dentist | 1011 N University Ave, Ann Arbor, MI 48109-1078 | 2013-07-11 |
| 1306289137 | Hiba Kattan | Dentist | 1011 N University Ave, Ann Arbor, MI 48109-1078 | 2013-04-11 |
| 1669781407 | Youngjoo Elaine Kim | Dentist | 1011 N University Ave, Ann Arbor, MI 48109-1078 | 2010-09-28 |
| Find all providers in ANN ARBOR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.