SCARLETT KETTWICH


Address: 2215 Fuller Rd, Ann Arbor, MI 48105-2303
Phone: 7348453411

SCARLETT KETTWICH (NPI# 1881212488) 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) 1881212488
Entity Type Individual
Full Name SCARLETT KETTWICH
Credential DMD
Practice Address 2215 Fuller Rd
Ann Arbor
MI 48105-2303
Mailing Address 2487 Tapio Cir
Ann Arbor
MI 48105-2287
Practice Telephone 7348453411
Mailing Telephone 8087566337
Enumeration Date 2020-07-09
Last Update Date 2020-07-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 2951000827 MI Dental Providers

Office Location

Street Address 2215 FULLER RD
City ANN ARBOR
State MI
Zip Code 48105-2303

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619975075 Susan M Meador Pharmacist 2215 Fuller Rd, Ann Arbor, MI 48105-2303 2005-07-11
1972101103 Blaine Franklin Physical Therapist 2215 Fuller Rd, Ann Arbor, MI 48105-2303 2020-10-10
1306443262 Benjamin Pfeifer Psychologist 2215 Fuller Rd, Ann Arbor, MI 48105-2303 2020-10-05
1083223044 John Zemicki Pharmacist 2215 Fuller Rd, Ann Arbor, MI 48105-2303 2020-07-27
1790394955 Jyness Ariel Williams Pharmacist 2215 Fuller Rd, Ann Arbor, MI 48105-2303 2020-07-23
1114545761 Emily Sahagian Pharmacist 2215 Fuller Rd, Ann Arbor, MI 48105-2303 2020-07-10
1831717586 Jessica Vogt Physical Therapist 2215 Fuller Rd, Ann Arbor, MI 48105-2303 2020-07-09
1518584879 Lauren Mcculley Pharmacist 2215 Fuller Rd, Ann Arbor, MI 48105-2303 2020-07-02
1023634243 Amanjot Kaur Sarao Dentist 2215 Fuller Rd, Ann Arbor, MI 48105-2303 2020-06-23
1376169540 Ivan Nenadic Wood Student in an Organized Health Care Education/Training Program 2215 Fuller Rd, Ann Arbor, MI 48105-2303 2020-06-23
Find all providers in the same location

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 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023635232 Mamatha Valishetty Dentist 2776 Sagebrush Cir Apt 106, Ann Arbor, MI 48103-8776 2020-07-03
1144846171 Leah Baldinger Dentist 1500 E Medical Center Dr Spc 5222, Ann Arbor, MI 48109-5222 2020-06-25
1700446879 Nathalia Paiva De Andrade Dentist 1011 N University Ave # 1324, Ann Arbor, MI 48109-1078 2019-06-19
1801456173 Suzette Damarlie Laing Dentist 1011 N University Ave Rm 1324, Ann Arbor, MI 48109-1078 2019-06-18
1851959241 Catherine Haviland Dentist 1011 N University Ave Spc 1078, Ann Arbor, MI 48109-1078 2019-05-31
1801372008 Joseph Fazzio Dentist 465 Harbor Way, Ann Arbor, MI 48103-6666 2018-07-11
1255824371 Sergio Fabian Calleja Blanco Dentist 917 S Forest Ave, Ann Arbor, MI 48104-3542 2018-06-13
1669965257 Tarek Nabil Metwally Dentist Michigan Medicine, University of Michigan Dept of Omfs, 1515 Hospital Dr. G1218 Towsley, Spc 5222, Ann Arbor, MI 48109-5222 2018-06-08
1326551011 Ali Bushahri Dentist 1011 North University, Ann Arbor, MI 48109-1078 2017-11-16
1689193278 Ennis Malik Bedair Dentist 1500 E. Medical Center Dr., Med Inn C213a, Ann Arbor, MI 48109 2017-09-14
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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