| Regents Of The University Of Michigan School Of Dentistry | |
|
1011 N University Ave Ann Arbor MI 48109-1078 | |
| (888) 707-2500 | |
| (734) 647-4024 |
| Full Name | Regents Of The University Of Michigan School Of Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 1011 N University Ave, Ann Arbor, Michigan |
| Authorized Official Name and Position | Romesh Nalliah (ASSOCIATE DEAN FOR PATIENT SERVICES) |
| Authorized Official Contact | 8887072500 |
| 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 School Of Dentistry 1011 N University Ave Ann Arbor MI 48109-1078 Ph: (888) 707-2500 | Regents Of The University Of Michigan School Of Dentistry 1011 N University Ave Ann Arbor MI 48109-1078 Ph: (888) 707-2500 |
| NPI Number | 1124143300 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 09/03/2021 |
| Medicare PECOS PAC ID | 0244273365 |
|---|---|
| Medicare Enrollment ID | O20050608001102 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124143300 | NPI | - | NPPES |
| 970H11102 | Other | MI | BCBS OF MI MED SURGICAL |
| 190H11093 | Other | MI | BCBS OF MI MED SURGICAL |
| 026194 | Other | MI | MIDWEST HEALTH |
| 2667823 | Medicaid | OH | |
| 4615102 | Medicaid | MI | |
| D800336 | Other | MI | BCBS OF MI DENTAL |
| QMXPR0028409 | Other | MI | MOLINA HEALTHCARE OF MI |
| 0985982 | Other | MI | HEALTH PLUS OF MI |
| 43-29007 | Other | MI | PHP OF MI |
| 4613082 | Medicaid | MI | |
| 88006 | Other | MI | DELTA OF MI GENL |
| DD81017 | Other | MI | M-CARE |
| Provider Name | Hom-lay Wang |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1316061757 PECOS PAC ID: 2668788456 Enrollment ID: I20150824001770 |
| Provider Name | Mark Fitzgerald |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1710010962 PECOS PAC ID: 0749596450 Enrollment ID: I20240516002317 |
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 |