BAY PERIODONTICS (NPI# 1174134605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174134605 |
Entity Type | Organization |
Organization Name | BAY PERIODONTICS |
Practice Address |
1666 Towsley Ln Ann Arbor MI 48105-9336 |
Practice Telephone | 7606015782 |
Mailing Telephone | 7606015782 |
Enumeration Date | 2020-08-10 |
Last Update Date | 2020-08-10 |
Authorized Official Name | DR. JULIE KERRY BAY (OWNER) |
Authorized Official Telephone | 7606015782 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers |
Street Address |
1666 TOWSLEY LN |
City | ANN ARBOR |
State | MI |
Zip Code | 48105-9336 |
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 Code | 1223P0300X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Periodontics |
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699309500 | Ann Arbor Periodontics | Dentist | 2715 Packard St Ste C, Ann Arbor, MI 48108-3365 | 2020-02-29 |
1861722993 | Heba Abuhussein | Dentist | 290 Columbus Dr, Ann Arbor, MI 48103-2791 | 2010-01-13 |
1871798314 | Nivedita Kumar | Dentist | 2755 Carpenter Rd Ste 2, Ann Arbor, MI 48108-1186 | 2007-06-15 |
1629177613 | William P Sorensen | Dentist | 2715 Packard St, Suite C, Ann Arbor, MI 48108 | 2006-09-22 |
1598784837 | Mark David Zahn | Dentist | 2207 Jackson Ave, Ann Arbor, MI 48103-3919 | 2006-07-18 |
1982041836 | Alexandra Blake Plonka | Dentist | 1011 N University Ave, Department of Periodontics and Oral Medicine, Ann Arbor, MI 48109-1078 | 2013-06-02 |
1639434301 | Lindsey Marie Steele | Dentist | 1011 N University Ave, Ann Arbor, MI 48109-1078 | 2012-07-09 |
1588978647 | Suzanne Anderson Mason | Dentist | 1011 N University Ave, Univ. of Michigan School of Dentistry, Ann Arbor, MI 48109-1078 | 2010-08-01 |
1154659381 | Julius Edwin Bunek II | Dentist | 2715 Packard St, Ann Arbor, MI 48108-3336 | 2009-11-30 |
1376784942 | Jill Dawn Bashutski | Dentist | 1011 N University Ave, Rm 1324, Ann Arbor, MI 48109-1078 | 2009-03-11 |
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.