| Regents Of The University Of Michigan Dental Faculty Associates | |
|
1011 N University Ave Ann Arbor MI 48109-1078 | |
| (734) 764-3155 | |
| (734) 615-4784 |
| Full Name | Regents Of The University Of Michigan Dental Faculty Associates |
|---|---|
| Speciality | Dentist |
| Location | 1011 N University Ave, Ann Arbor, Michigan |
| Authorized Official Name and Position | Peter J Polverini (DEAN, UNIV OF MI SCHOOL OF DENTISTR) |
| Authorized Official Contact | 7347649185 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Regents Of The University Of Michigan Dental Faculty Associates 1011 N University Ave Ann Arbor MI 48109-1078 Ph: (734) 764-9185 | Regents Of The University Of Michigan Dental Faculty Associates 1011 N University Ave Ann Arbor MI 48109-1078 Ph: (734) 764-3155 |
| NPI Number | 1932279882 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 08/20/2008 |
| Medicare PECOS PAC ID | 8729043534 |
|---|---|
| Medicare Enrollment ID | O20041122000230 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932279882 | NPI | - | NPPES |
| 970H110770 | Other | MI | BCBS OF MI ORALSURGERY |
| XX19411 | Other | MI | HEALTH PLUS OF MI |
| 1006664 | Other | MI | MCLAREN ADVANTAGE |
| 2667609 | Medicaid | OH | |
| 43-20001 | Other | MI | PHP OF MI |
| 43-28004 | Other | MI | PHP OF MI |
| 4504346 | Medicaid | MI | |
| 190H110980 | Other | MI | BCBS OF MI MEDSURG # |
| 025748 | Other | MI | MIDWEST HEALTH |
| 1476671 | Other | MI | UNITED CONCORDIA |
| 4504373 | Medicaid | MI | |
| 88054 | Other | MI | DELTA DENTAL OF MI - GENL |
| D800363 | Other | MI | BCBS OF MI GENLDENTIST |
| QMXPR0014549 | Other | MI | MOLINA HEALTHCARE |
| Provider Name | Brent B Ward |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1073611794 PECOS PAC ID: 5799734505 Enrollment ID: I20050119000705 |
| Provider Name | Laurie Mccauley |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1598898744 PECOS PAC ID: 9739120627 Enrollment ID: I20050520000651 |
| Provider Name | Sean P Edwards |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1952313892 PECOS PAC ID: 7214932011 Enrollment ID: I20060929000385 |
| Provider Name | Sharon Aronovich |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1871777326 PECOS PAC ID: 2163576885 Enrollment ID: I20110927000572 |
| Provider Name | Amy M Chin |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1114144581 PECOS PAC ID: 2668607698 Enrollment ID: I20131029002077 |
| Provider Name | Hsiao Hsin Sung |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1205191590 PECOS PAC ID: 8729392063 Enrollment ID: I20150731014301 |
| Provider Name | Geoffrey E Gerstner |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1508232554 PECOS PAC ID: 2365782489 Enrollment ID: I20190327000482 |
Blossom Pediatric Dentistry & Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3100 Eisenhower Parkway, Suite 200, Ann Arbor, MI 48108 Phone: 734-971-3368 Fax: 734-971-3979 | |
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 |