ANN ARBOR DENTAL SPECIALISTS NPI 1306014816

NPI Information

  • NPI: 1306014816
  • Provider Name: ANN ARBOR DENTAL SPECIALISTS
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Address: 3100 E EISENHOWER PKWY
    SUITE 200
    ANN ARBOR, MI
    ZIP 48108
  • Phone: (734) 971-3368

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NPI Details

ANN ARBOR DENTAL SPECIALISTS is a pediatric dentistry dentist in Ann Arbor, MI. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. ANN ARBOR DENTAL SPECIALISTS NPI is 1306014816. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3100 E EISENHOWER PKWY
SUITE 200
ANN ARBOR, MI
ZIP 48108-205
Phone: (734) 971-3368
Fax: (734) 971-3979

The provider's authorized official is James W Clark .
The authorized official title is Dentist and has the following contact phone number (734) 971-3368.

The enumeration date for this NPI number is 2/19/2008 and was last updated on 2/19/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223X0400XDentistOrthodontics and Dentofacial Orthopedics2901018096MICHIGANNo
21223P0221XDentistPediatric Dentistry2901010113MICHIGANYes

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: 11/21/2025

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