| Kennedy Marzonie Gray & Associates Pllc | |
|
2365 S Huron Pkwy Ann Arbor MI 48104-5156 | |
| (734) 677-8700 | |
| (348) 394-1377 |
| Full Name | Kennedy Marzonie Gray & Associates Pllc |
|---|---|
| Speciality | Dentist |
| Location | 2365 S Huron Pkwy, Ann Arbor, Michigan |
| Authorized Official Name and Position | Sharene Nicole Rumohr (BILLING AND MARKETING MANAGER) |
| Authorized Official Contact | 7346778700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kennedy Marzonie Gray & Associates Pllc 2365 S Huron Pkwy Ann Arbor MI 48104-5156 Ph: (734) 677-8700 | Kennedy Marzonie Gray & Associates Pllc 2365 S Huron Pkwy Ann Arbor MI 48104-5156 Ph: (734) 677-8700 |
| NPI Number | 1154430718 |
|---|---|
| Provider Enumeration Date | 08/29/2006 |
| Last Update Date | 08/01/2022 |
| Medicare PECOS PAC ID | 0345475257 |
|---|---|
| Medicare Enrollment ID | O20131031001073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154430718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12814 (Michigan) | Secondary |
| 122300000X | Dentist | 12824 (Michigan) | Secondary |
| 122300000X | Dentist | 18447 (Michigan) | Primary |
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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 | |
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