ARBOR AREA ENDODONTICS PC (NPI# 1578736468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578736468 |
| Entity Type | Organization |
| Organization Name | ARBOR AREA ENDODONTICS PC |
| Practice Address |
2330 E Stadium Blvd Suite #1 Ann Arbor MI 48104-4820 |
| Practice Telephone | 7349732727 |
| Mailing Telephone | 7349732727 |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2008-04-11 |
| Authorized Official Name | DR. WESLEY ICHESCO (OWNER) |
| Authorized Official Telephone | 7349732727 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
800745 | MI | Dental Providers |
| Street Address |
2330 E STADIUM BLVD SUITE #1 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48104-4820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710041082 | Wesley Ichesco | Dentist | 2330 E Stadium Blvd, Suite #1, Ann Arbor, MI 48104-4820 | 2006-12-21 |
| 1710295910 | Performance Health Chiropractic Plc | Chiropractor | 2330 E Stadium Blvd, Suite 3, Ann Arbor, MI 48104-4820 | 2010-09-22 |
| 1922243781 | Timothy Dehr | Chiropractor | 2330 E Stadium Blvd, #3, Ann Arbor, MI 48104-4820 | 2008-12-09 |
| 1790839504 | Richard Martin Zillich | Dentist | 2330 E Stadium Blvd, Suite 1, Ann Arbor, MI 48104-4820 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336603927 | Julie Corey | Counselor | 2604 Brockman Blvd, Ann Arbor, MI 48104 | 2019-01-28 |
| 1003301045 | Ann Arbor Pharmacy LLC | Pharmacy | 2418 E Stadium Blvd, Ann Arbor, MI 48104 | 2018-06-22 |
| 1811499304 | Melissa L Wright | Physical Therapist | 2850 S Industrial Hwy Suite 200, Ann Arbor, MI 48104 | 2018-03-01 |
| 1689180226 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3500 Washtenaw Ave Ste E3, Ann Arbor, MI 48104 | 2017-12-19 |
| 1861911547 | Jonathen Ross | Social Worker | 500 E. Washington St., Ste 100a, Ann Arbor, MI 48104 | 2017-09-14 |
| 1275058521 | Emily Lauren Hanna | Social Worker | 214 S. Main Street, Suite # 206, Ann Arbor, MI 48104 | 2017-08-08 |
| 1073035457 | Raynaldo Juaquin Valdez | Specialist/Technologist | 500 E. Hoover Ave, Ann Arbor, MI 48104 | 2017-07-07 |
| 1912436908 | Alison Nicole Tseng | Dentist | 2301 Platt Rd Ste 200, Ann Arbor, MI 48104 | 2017-06-05 |
| 1528593183 | Hillary Baldwin Steller, Lmsw,llc | Social Worker | 715-717 E. Huron St, Suite 2e, Ann Arbor, MI 48104 | 2017-04-20 |
| 1013360973 | Teresa Myers | Massage Therapist | 2230 Washtenaw Ave, Suite 101, Ann Arbor, MI 48104 | 2016-07-15 |
| Find all providers in zip 48104 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689701914 | Thomas J Stein | Dentist | 2715 Packard Rd, Suite A, Ann Arbor, MI 48108 | 2007-02-27 |
| 1134286891 | Alireza Aminlari | Dentist | 760 W Eisenhower Pkwy Ste 210, Ann Arbor, MI 48103 | 2007-01-02 |
| 1710041082 | Wesley Ichesco | Dentist | 2330 E Stadium Blvd, Suite #1, Ann Arbor, MI 48104-4820 | 2006-12-21 |
| 1003862327 | Endodontic Associates | Dentist | 315 E Eisenhower Pkwy, #220, Ann Arbor, MI 48108-3350 | 2006-05-26 |
| 1013402189 | A2 Endodontics | Dentist | 760 W Eisenhower Pkwy Ste 210, Ann Arbor, MI 48103-6196 | 2018-06-29 |
| 1912152430 | Regents of The University of Michigan School of Dentistry | Dentist | 1011 N University Ave, Ann Arbor, MI 48109-1078 | 2008-11-25 |
| 1386899805 | Regents of The University of Michigan Dental Faculty Associates | Dentist | 1011 N University Ave, Ann Arbor, MI 48109-1078 | 2008-11-25 |
| 1497887392 | Jeffrey L Ash | Dentist | 2715 Packard Rd, Suite A, Ann Arbor, MI 48108 | 2007-03-09 |
| 1790839504 | Richard Martin Zillich | Dentist | 2330 E Stadium Blvd, Suite 1, Ann Arbor, MI 48104-4820 | 2007-01-22 |
| 1932279882 | Regents of The University of Michigan Dental Faculty Associates | Dentist | 1011 N University Ave, Ann Arbor, MI 48109-1078 | 2006-11-08 |
| 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.