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EDDIE PANTZLAFF DDS NPI 1801248471


NPI Information

NPI: 1801248471
Provider Name: EDDIE PANTZLAFF, DDS
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1500 E. MEDICAL CENTER DRIVE
G1200 TOWSLEY CTR, RM 1211
ANN ARBOR, MI
ZIP 48109
Phone: (734) 936-5950
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Eddie Pantzlaff, DDS is a student in an organized health care education training program in Ann Arbor, MI. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Eddie Pantzlaff, DDS NPI is 1801248471. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1500 E. MEDICAL CENTER DRIVE
G1200 TOWSLEY CTR, RM 1211
ANN ARBOR, MI
ZIP 48109-222
Phone: (734) 936-5950

The NPI 1801248471 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 7/7/2016 and was last updated on 5/11/2018.


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
11223G0001XDentistGeneral Practice2901022023MICHIGANNo
2390200000XStudent in an Organized Health Care Education/Training Program2901022023MICHIGANYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.