MISS ELIZABETH ANNE VANTUBERGEN (NPI# 1477787489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477787489 |
| Entity Type | Individual |
| Full Name | MISS ELIZABETH ANNE VANTUBERGEN |
| Credential | DDS |
| Practice Address |
21800 Pontiac Trail Ste 100 South Lyon MI 48178 |
| Practice Telephone | 2484378300 |
| Practice Fax Number | 2484378066 |
| Mailing Telephone | 2484378300 |
| Mailing Fax Number | 2484378066 |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2009-05-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2901019921 | MI | Dental Providers |
| Street Address |
21800 PONTIAC TRAIL STE 100 |
| City | SOUTH LYON |
| State | MI |
| Zip Code | 48178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497883532 | Paul L Simon Dds Plc | Dentist | 21800 Pontiac Trail, Ste 100, South Lyon, MI 48178 | 2007-03-01 |
| 1003082439 | Kelly Jim Rigney | Dentist | 21800 Pontiac Trail, Suuite 100, South Lyon, MI 48178-7400 | 2008-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083231815 | Bhoomi Shah | Pharmacist | 22318 Pontiac Trail, South Lyon, MI 48178 | 2020-06-27 |
| 1649811845 | Center for Emdr and Trauma Therapy | Counselor | 28900 Pontiac Trail, South Lyon, MI 48178 | 2019-09-30 |
| 1295223386 | Cathrine Michelle Arneson | Massage Therapist | 321 Pettibone St. #101a, South Lyon, MI 48178 | 2018-04-25 |
| 1033592936 | 4-serv Family Medicine P.C. | Family Medicine | 51619 Ten Mile Rd, South Lyon, MI 48178 | 2015-07-09 |
| 1003299777 | James Sullivan | Physical Therapy Assistant | 10821 Bouldercrest Drive, South Lyon, MI 48178 | 2015-06-30 |
| 1255722088 | Jennifer Nidetz | Social Worker | 23015 Cheyenne Dr, South Lyon, MI 48178 | 2015-02-16 |
| 1174938658 | Michael Samir Matar | Family Medicine | 210 N Lafayette Street, South Lyon, MI 48178 | 2014-06-24 |
| 1043633191 | Kwonsoo Kenneth Kim | Anesthesiology | 8854 Stoney Creek Dr., South Lyon, MI 48178 | 2014-01-27 |
| 1285071860 | Ajanthan Sivagurunathan | Student in an Organized Health Care Education/Training Program | 210 North Lafayette, Providence Medical Center - South Lyon, South Lyon, MI 48178 | 2013-05-23 |
| 1184890055 | Yvonne Marie Snyder | Dentist | 100 E Lake St, South Lyon, MI 48178 | 2008-05-01 |
| Find all providers in zip 48178 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104354331 | Doohak Kim | Dentist | 205 Columbia Dr, South Lyon, MI 48178-1886 | 2017-06-01 |
| 1265984041 | Gateway Dental Care, Plc | Dentist | 51611 Ten Mile Rd, South Lyon, MI 48178-9720 | 2016-10-27 |
| 1881910644 | Robin Lynn-pregitzer Simonton | Dentist | 9271 Silverside, South Lyon, MI 48178-9316 | 2010-04-19 |
| 1184890055 | Yvonne Marie Snyder | Dentist | 100 E Lake St, South Lyon, MI 48178 | 2008-05-01 |
| 1134292048 | Diane Marie Pitak | Dentist | 110 E Lake St, South Lyon, MI 48178-1409 | 2006-11-16 |
| 1164509055 | Padmalekha Ramani | Dentist | 57116 10 Mile Rd, South Lyon, MI 48178-8327 | 2006-10-31 |
| 1033229414 | William A Shortt | Dentist | 12756 Ten Mile Rd, South Lyon, MI 48178 | 2006-08-30 |
| 1053922468 | Michelle R Conforti | Dentist | 25660 Pontiac Trl, South Lyon, MI 48178-8046 | 2020-08-11 |
| 1326592312 | Kenneth W Roberts, Dds, PC | Dentist | 546 N Lafayette St, South Lyon, MI 48178-2000 | 2016-08-08 |
| 1699017426 | Ramani Dentistry Pllc | Dentist | 57116 10 Mile Rd, South Lyon, MI 48178-8327 | 2013-03-19 |
| Find all providers in SOUTH LYON | ||||
| City | SOUTH LYON |
| Zip Code | 48178 |
Please comment or provide details below to improve the information on MISS ELIZABETH ANNE VANTUBERGEN.
| 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.