| Anjoo C. Ely, Dds, Pllc | |
|
27225 Providence Pkwy Ste 100 Novi MI 48374-1271 | |
| (248) 347-3030 | |
| (248) 347-1198 |
| Full Name | Anjoo C. Ely, Dds, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 27225 Providence Pkwy Ste 100, Novi, Michigan |
| Authorized Official Name and Position | Anjoo Chaudhr Ely (OWNER) |
| Authorized Official Contact | 2483473030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anjoo C. Ely, Dds, Pllc 27225 Providence Pkwy Ste 100 Novi MI 48374-1271 Ph: (248) 347-3030 | Anjoo C. Ely, Dds, Pllc 27225 Providence Pkwy Ste 100 Novi MI 48374-1271 Ph: (248) 347-3030 |
| NPI Number | 1093143802 |
|---|---|
| Provider Enumeration Date | 10/15/2013 |
| Last Update Date | 11/21/2022 |
| Medicare PECOS PAC ID | 4385883891 |
|---|---|
| Medicare Enrollment ID | O20130613000200 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093143802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901017277 (Michigan) | Primary |
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