Provider Type Icon

REGENTS OF THE UNIVERSITY OF MICHIGAN DENTAL FACULTY ASSOCIATES NPI 1932279882


NPI Information

NPI: 1932279882
Provider Name: REGENTS OF THE UNIVERSITY OF MICHIGAN DENTAL FACULTY ASSOCIATES
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1011 N UNIVERSITY AVE
ANN ARBOR, MI
ZIP 48109
Phone: (734) 764-3155
Get Directions

REGENTS OF THE UNIVERSITY OF MICHIGAN DENTAL FACULTY ASSOCIATES 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 DENTAL FACULTY ASSOCIATES NPI is 1932279882. 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: (734) 764-3155
Fax: (734) 615-4784

The provider's authorized official is Peter J Polverini .
The authorized official title is Dean, Univ Of Mi School Of Dentistr and has the following contact phone number (734) 764-9185.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 8/20/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223E0200XDentistEndodonticsNo
21223P0106XDentistOral and Maxillofacial PathologyNo
31223P0221XDentistPediatric DentistryNo
41223P0300XDentistPeriodonticsNo
51223P0700XDentistProsthodonticsNo
61223S0112XDentistOral and Maxillofacial SurgeryNo
71223X0008XDentistOral and Maxillofacial RadiologyNo
81223X0400XDentistOrthodontics and Dentofacial OrthopedicsNo
9122300000XDentistNo
101223G0001XDentistGeneral Practice2901016040MICHIGANYes

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
143-20001OTHERMICHIGANPHP OF MI
2QMXPR0014549OTHERMICHIGANMOLINA HEALTHCARE
31476671OTHERMICHIGANUNITED CONCORDIA
42667609MEDICAIDOHIO
543-28004OTHERMICHIGANPHP OF MI
60N65440MEDICARE PINMICHIGAN
74504346MEDICAIDMICHIGAN
8190H110980OTHERMICHIGANBCBS OF MI MEDSURG #
9XX19411OTHERMICHIGANHEALTH PLUS OF MI
10D800363OTHERMICHIGANBCBS OF MI GENLDENTIST
1188054OTHERMICHIGANDELTA DENTAL OF MI - GENL
121006664OTHERMICHIGANMCLAREN ADVANTAGE
130N65450MEDICARE PINMICHIGAN
14025748OTHERMICHIGANMIDWEST HEALTH
15970H110770OTHERMICHIGANBCBS OF MI ORALSURGERY
164504373MEDICAIDMICHIGAN

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.