DR. ALEXANDRA BLAKE PLONKA (NPI# 1982041836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982041836 |
| Entity Type | Individual |
| Full Name | DR. ALEXANDRA BLAKE PLONKA |
| Credential | D.D.S. |
| Practice Address |
1011 N University Ave Department of Periodontics and Oral Medicine Ann Arbor MI 48109-1078 |
| Practice Telephone | 3137374748 |
| Mailing Telephone | 3137374748 |
| Enumeration Date | 2013-06-02 |
| Last Update Date | 2013-06-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
2901020955 | MI | Dental Providers |
| Street Address |
1011 N UNIVERSITY AVE DEPARTMENT OF PERIODONTICS AND ORAL MEDICINE |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48109-1078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952388514 | Thomas S Marshall | Dentist | 1011 N University Ave, Ann Arbor, MI 48109-1078 | 2005-12-26 |
| 1225655921 | Jae Young Han | Dentist | 1011 N University Ave, Ann Arbor, MI 48109-1078 | 2020-06-29 |
| 1568085264 | Curtis Richard Herzog | Dentist | 1011 N University Ave, Department of Oral and Maxillofacial Surgery, Ann Arbor, MI 48109 | 2020-05-28 |
| 1205459039 | David Jarvie | Dentist | 1011 N University Ave, Ann Arbor, MI 48109-1078 | 2020-05-27 |
| 1295357895 | Richard Klarck | Dentist | 1011 N University Ave, Ann Arbor, MI 48109-1078 | 2020-05-18 |
| 1841811817 | Alexis Daniels | Dentist | 1011 N University Ave, Ann Arbor, MI 48109-1078 | 2020-05-01 |
| 1114548112 | Carissa Choong | Dentist | 1011 N University Ave, Ann Arbor, MI 48109-1078 | 2020-04-30 |
| 1285255281 | Ramandeep Kaur | Dentist | 1011 N University Ave, Ann Arbor, MI 48109-1078 | 2020-04-30 |
| 1861012296 | Jade Cook | Dentist | 1011 N University Ave, Ann Arbor, MI 48109-1078 | 2020-04-27 |
| 1396379335 | Heather Marie Baughman | Student in an Organized Health Care Education/Training Program | 1011 N University Ave, Ann Arbor, MI 48109-1078 | 2020-02-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987024 | Albert Byun | Student in an Organized Health Care Education/Training Program | 1500 E.medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-22 |
| 1851914931 | Nadine Ibrahim | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Spc 5312, Taubman Center, 1st Floor, Room 1903, Ann Arbor, MI 48109 | 2020-05-22 |
| 1568083350 | Tucker Zimmer | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-03 |
| 1144841099 | Jessica Moore Meves | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-01 |
| 1710522297 | Xiaoyuan Hu | Specialist/Technologist | Obl 2150, 1402 Washington Hts, Ann Arbor, MI 48109 | 2019-11-08 |
| 1376192401 | Regina Kay Freeman | Clinical Nurse Specialist | 4726 Cardiovascular Center, 1500 E Medical Center Dr, Ann Arbor, MI 48109 | 2019-09-11 |
| 1477114155 | William Philip Saunders IIi | Student in an Organized Health Care Education/Training Program | 300 N Ingalls Building, Rm Ni4co6, Ann Arbor, MI 48109 | 2019-06-24 |
| 1093290447 | Teresa H Lyden | Speech-Language Pathologist | 1500 E. Medical Center Dr., Spc 5312, 1904 Tc, Otolaryngology-head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1649755091 | Anna Grace Hardenbergh | Speech-Language Pathologist | 1500 E. Medical Center Drive Tc 1904, Otolaryngology Head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1548754609 | Amy Wu | Pediatrics | 1500 East Medical Center Drive., Medical Professional Bldg. D-3238, Ann Arbor, MI 48109 | 2018-06-21 |
| Find all providers in zip 48109 | ||||
| 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 |
|---|---|---|---|---|
| 1174134605 | Bay Periodontics | Dentist | 1666 Towsley Ln, Ann Arbor, MI 48105-9336 | 2020-08-10 |
| 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 |
| 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.