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REGENTS OF THE UNIVERSITY OF MICHIGAN SCHOOL OF DENTISTRY NPI 1124143300


NPI Information

NPI: 1124143300
Provider Name: REGENTS OF THE UNIVERSITY OF MICHIGAN SCHOOL OF DENTISTRY
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1011 N UNIVERSITY AVE
ANN ARBOR, MI
ZIP 48109
Phone: (888) 707-2500
Get Directions

REGENTS OF THE UNIVERSITY OF MICHIGAN SCHOOL OF DENTISTRY is a general practice dentist in Ann Arbor, MI. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. REGENTS OF THE UNIVERSITY OF MICHIGAN SCHOOL OF DENTISTRY NPI is 1124143300. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1011 N UNIVERSITY AVE
ANN ARBOR, MI
ZIP 48109-078
Phone: (888) 707-2500
Fax: (734) 647-4024

The provider's authorized official is Romesh Nalliah .
The authorized official title is Associate Dean For Patient Services and has the following contact phone number (888) 707-2500.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 9/3/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentistNo
21223E0200XDentistEndodonticsNo
31223P0221XDentistPediatric DentistryNo
41223P0300XDentistPeriodonticsNo
51223P0700XDentistProsthodonticsNo
61223S0112XDentistOral and Maxillofacial SurgeryNo
71223X0008XDentistOral and Maxillofacial RadiologyNo
81223X0400XDentistOrthodontics and Dentofacial OrthopedicsNo
9124Q00000XDental HygienistNo
10126800000XDental AssistantNo
111223G0001XDentistGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1190H11093OTHERMICHIGANBCBS OF MI MED SURGICAL
2026194OTHERMICHIGANMIDWEST HEALTH
30985982OTHERMICHIGANHEALTH PLUS OF MI
4DD81017OTHERMICHIGANM-CARE
54615102MEDICAIDMICHIGAN
64613082MEDICAIDMICHIGAN
788006OTHERMICHIGANDELTA OF MI GENL
8D800336OTHERMICHIGANBCBS OF MI DENTAL
92667823MEDICAIDOHIO
1043-29007OTHERMICHIGANPHP OF MI
11970H11102OTHERMICHIGANBCBS OF MI MED SURGICAL
12QMXPR0028409OTHERMICHIGANMOLINA HEALTHCARE OF MI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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