DR. ELIZABETH MARIE CLAFLIN WYDERKO


Address: 2215 Fuller Road, Dental Service 160, Ann Arbor, MI 48105
Phone: 7347697100

DR. ELIZABETH MARIE CLAFLIN WYDERKO (NPI# 1114048402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114048402
Entity Type Individual
Full Name DR. ELIZABETH MARIE CLAFLIN WYDERKO
Credential D.D.S.
Practice Address 2215 Fuller Road
Dental Service 160
Ann Arbor
MI 48105
Mailing Address 3043 Barclay Way
Ann Arbor
MI 48105-9464
Practice Telephone 7347697100
Enumeration Date 2007-04-03
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
2901019339 MI Dental Providers

Office Location

Street Address 2215 FULLER ROAD
DENTAL SERVICE 160
City ANN ARBOR
State MI
Zip Code 48105

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750359527 Jyotsna Kapoor Internal Medicine 2215 Fuller Road, Ann Arbor, MI 48105 2006-03-09
1700417581 Michael Nolan Pharmacist 2215 Fuller Road, Db12, Ann Arbor, MI 48105 2020-01-30
1922450212 Logan White Dentist 2215 Fuller Road, Vamc Dental Service (160), Ann Arbor, MI 48105-9923 2016-07-11
1003265091 Ning Chang Dentist 2215 Fuller Road, Aavamc - Dental Service (160), Ann Arbor, MI 48105-9923 2016-06-09
1912273947 Sandra Lee Houghtaling Registered Nurse 2215 Fuller Road, Ann Arbor, MI 48105-2303 2012-03-23
1689945594 Susan Hansell Registered Nurse 2215 Fuller Road, Va Ann Arbor Healthcare System Mail Code 111e, Ann Arbor, MI 48105 2012-01-24
1427325661 Cynthia A Horning Registered Nurse 2215 Fuller Road, Ann Arbor Va Medical Center, Ann Arbor, MI 48108 2011-11-16
1356678239 Cynthia Ann Jachym Registered Nurse 2215 Fuller Road, Ann Arbor, MI 48105 2009-11-12
1295961241 William B Cederquist Anesthesiology 2215 Fuller Road, Ann Arbor, MI 48105-2303 2009-06-04
1427132992 Joleen Ann Wagner-felkey Social Worker 2215 Fuller Road, Ann Arbor, MI 48105-2338 2006-10-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730728718 Alexander Jendrusina Psychologist Va Ann Arbor Healthcare System, 2215 Fuller Rd, Ann Arbor, MI 48105 2019-12-23
1417515875 Christine Shyh Wang Student in an Organized Health Care Education/Training Program 4029 Avenue Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 2019-05-31
1013475003 Ryan Wang Physician Assistant 4883 S. Ridgeside Cir, Ann Arbor, MI 48105 2019-03-08
1801366265 Amruta Sonavaria Physical Therapist 4701 East Huron River Drive, Ann Arbor, MI 48105 2018-11-28
1568955730 Alexander Sliwicki Pediatrics 1500 East Medical Drive, Medical Professional Building, Ann Arbor, MI 48105 2018-06-12
1902398464 Austin Remington Student in an Organized Health Care Education/Training Program 4029 Ave Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 2018-05-31
1881191658 Stephen James Hickner Student in an Organized Health Care Education/Training Program St. Mary Mercy Outpatient Psychiatric Services, 2006 Hogback Road, Suite 1, Ann Arbor, MI 48105 2018-04-09
1245681709 Winnie Nhan Internal Medicine 4000 Ave Maria Dr, Lobby C Suite 1300, Ann Arbor, MI 48105 2016-06-27
1861857971 Connie Chen Pharmacist 2215 Fuller Road (119), Ann Arbor, MI 48105 2015-12-17
1407241193 Stefan Craciun Emergency Medicine 3484 Ashburnam Rd, Ann Arbor, MI 48105 2015-03-31
Find all providers in zip 48105

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659989341 Steven Joseph Quell Dentist 3100 E Eisenhower Pkwy Ste 300, Ann Arbor, MI 48108-5205 2020-07-19
1699383695 Laurich Dentistry Ann Arbor Pllc Dentist 2715 Packard St Ste B, Ann Arbor, MI 48108-3365 2020-07-16
1417573312 Jiwon Lim Dentist 1500 E Medical Center Dr Fl 2c213, Ann Arbor, MI 48109-5000 2020-06-17
1518582337 Emma Jean Mattei Dentist 2920 Tepeyac Hill Dr, Ann Arbor, MI 48105-9388 2020-06-09
1053935155 Elijah Noronha Dentist 4814 Washtenaw Ave Apt B5, Ann Arbor, MI 48108-1446 2020-06-04
1114572609 Chandani Patel Dentist 1250 Horseshoe Cir Apt 106, Ann Arbor, MI 48108-2424 2019-08-02
1215422266 Lucy Marie Johnson Dentist Va Health Ann Arbor Dental Service, 2215 Fuller Road, Ann Arbor, MI 48105-2303 2018-06-22
1376052647 Shivika Verma Dentist 3071 Signature Blvd, Apartment #f, Ann Arbor, MI 48103 2017-09-29
1003339391 Celia Sommer Dentist 1011 North University Ave, Ann Arbor, MI 48109-1078 2017-07-19
1952823346 Claudia M Varvara Dentist 811 E Summerfield Glen Circle, Ann Arbor, MI 48103-9161 2017-07-07
Find all providers in ANN ARBOR

Competitor

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City ANN ARBOR
Zip Code 48105

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Dataset Information

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.

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