| Blossom Pediatric Dentistry & Orthodontics | |
|
3100 Eisenhower Parkway Suite 200 Ann Arbor MI 48108 | |
| (734) 971-3368 | |
| (734) 971-3979 |
| Full Name | Blossom Pediatric Dentistry & Orthodontics |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3100 Eisenhower Parkway, Ann Arbor, Michigan |
| Authorized Official Name and Position | Elizabeth A Barber (PRESIDENT) |
| Authorized Official Contact | 7349713368 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blossom Pediatric Dentistry & Orthodontics 3100 Eisenhower Parkway Suite 200 Ann Arbor MI 48108 Ph: (734) 971-3368 | Blossom Pediatric Dentistry & Orthodontics 3100 Eisenhower Parkway Suite 200 Ann Arbor MI 48108 Ph: (734) 971-3368 |
| NPI Number | 1003308511 |
|---|---|
| Provider Enumeration Date | 05/31/2018 |
| Last Update Date | 05/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003308511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 2901020165 (Michigan) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 2901019552 (Michigan) | Secondary |
Endodontic Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 E Eisenhower Pkwy, #220, Ann Arbor, MI 48108 Phone: 734-761-3166 | |
Arbor Lodge Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2385 S Huron Pkwy, Ann Arbor, MI 48104 Phone: 734-971-1517 | |
A2 Endodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 760 W Eisenhower Pkwy Ste 210, Ann Arbor, MI 48103 Phone: 734-330-2205 | |
James D Herter Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1901 Pauline Blvd, Ann Arbor, MI 48103 Phone: 734-663-6056 | |
Regina M. Dailey, Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 221 N Ingalls St, Ann Arbor, MI 48104 Phone: 734-996-0055 Fax: 734-996-5934 | |
Gloria James Kerry, D.d.s., M.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3250 Plymouth Rd Ste 104, Ann Arbor, MI 48105 Phone: 734-995-0515 Fax: 734-995-1299 |