DR. ERICH ALEXANDER DITTMAR (NPI# 1265619514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265619514 |
Entity Type | Individual |
Full Name | DR. ERICH ALEXANDER DITTMAR |
Credential | DDS |
Practice Address |
10415 Grand River Rd Suite 400 Brighton MI 48116-6533 |
Practice Telephone | 8102259630 |
Practice Fax Number | 8102258760 |
Mailing Telephone | 8102259630 |
Mailing Fax Number | 8102258760 |
Enumeration Date | 2008-01-29 |
Last Update Date | 2008-01-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223E0200X |
Dentist Specialization: Endodontics |
2901016477 | MI | Dental Providers |
Street Address |
10415 GRAND RIVER RD SUITE 400 |
City | BRIGHTON |
State | MI |
Zip Code | 48116-6533 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841296522 | Richard B Omel | Family Medicine | 10415 Grand River Rd, Brighton, MI 48116-6533 | 2005-06-27 |
1679925986 | Kathleen Ann Jensen | Physical Therapy Assistant | 10415 Grand River Rd, Suite 300, Brighton, MI 48116-6533 | 2016-07-11 |
1427455146 | Marget Powers | Massage Therapist | 10415 Grand River Rd, Suite 450, Brighton, MI 48116-6533 | 2014-11-24 |
1053684647 | Ascension Providence Hosptial | Family Medicine | 10415 Grand River Rd, 100, Brighton, MI 48116-6533 | 2012-02-14 |
1245487446 | Michigan Rehabilitation Specialists of Brighton LLC | Physical Therapist | 10415 Grand River Rd, Suite 300, Brighton, MI 48116-6533 | 2008-08-19 |
1548427354 | Michelle R Porter | Physical Therapist | 10415 Grand River Rd, Suite 300, Brighton, MI 48116-6533 | 2008-05-20 |
1295913861 | Elizabeth S Copp | Physician Assistant | 10415 Grand River Rd, Ste 100, Brighton, MI 48116-6533 | 2008-02-06 |
1437336575 | Mika & Mika PC | Family Medicine | 10415 Grand River Rd, Ste 100, Brighton, MI 48116-6533 | 2008-01-30 |
1548488141 | Ashley Nicole Scott Bernstein | Physical Therapist | 10415 Grand River Rd, Suite 300, Brighton, MI 48116-6533 | 2007-04-22 |
1205967361 | Midwest Center for Sleep Disorders | Durable Medical Equipment & Medical Supplies | 10415 Grand River Rd, Ste 500, Brighton, MI 48116-6533 | 2007-03-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134686470 | Kristen Marie Ora | Social Worker | 8548 Grand River, Brighton, MI 48116 | 2019-02-22 |
1861981839 | Root To Rise Pllc | Social Worker | 396 Woodlake Dr, Brighton, MI 48116 | 2018-05-06 |
1952852857 | Valley Medical Pharmacy LLC | Pharmacy | 320 W Grand River Ave, Brighton, MI 48116 | 2016-10-17 |
1619360047 | Reema S Beri | Psychologist | 10327 East Grand River Avenue, Suite 406, Brighton, MI 48116 | 2015-03-10 |
1669883872 | Holly Babcock | Pharmacist | 8650 W Grand River, Brighton, MI 48116 | 2014-05-12 |
1861803991 | Corrigan Counseling Plc | Community/Behavioral Health | 710 E. Grand River Ave, Suite 2, Brighton, MI 48116 | 2014-05-12 |
1760756274 | Karen Joan Bergbower | Social Worker | 10299 Grand River, Suite P, Brighton, MI 48116 | 2012-03-01 |
1518298843 | Adam N Rushford | Chiropractor | 10192 E Grand River, Suite 107, Brighton, MI 48116 | 2010-01-27 |
1548419617 | Doreen Csokasy | Psychologist | 10315 E. Grand River, Brighton, MI 48116 | 2008-09-15 |
1336314350 | Larry Patrick Dewulf | Dentist | 8609 W Grand River, #102-1, Brighton, MI 48116 | 2008-04-30 |
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Taxonomy Code | 1223E0200X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Endodontics |
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881735066 | Erich A. Dittmar, Dds, Msd, PC | Dentist | 10415 Grand River Rd, Suite 400, Brighton, MI 48116-6533 | 2007-02-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225647514 | Drs Mesh, P.C. | Dentist | 15555 Silver Parkway, Fenton, MI 48430 | 2020-07-23 |
1285252874 | Plymouth Endodontics | Dentist | 9416 S Main St Ste 212, Plymouth, MI 48170-4148 | 2020-07-09 |
1578192712 | Rabban-acho Dental Pllc | Dentist | 38550 Garfield Rd Ste C, Clinton Township, MI 48038-3406 | 2020-04-08 |
1700411378 | Macomb Endodontics | Dentist | 51817 Gratiot Ave, Chesterfield, MI 48051-2014 | 2020-03-04 |
1861950701 | Garfield Road Dental- 2 | Dentist | 15401 Dix Toledo Rd, Southgate, MI 48195-2662 | 2019-03-11 |
1336654102 | Elite Endodontics | Dentist | 1135 S Lapeer Rd Ste A, Lake Orion, MI 48360-1432 | 2017-12-02 |
1255719456 | Norton Shores Dental PC | Dentist | 837 Seminole Rd Ste 100, Norton Shores, MI 49441-6734 | 2015-05-08 |
1396186292 | Ryan Brooks Mcmahan | Dentist | 400 W Main St Ste 106, Gaylord, MI 49735-1870 | 2013-07-09 |
1124461579 | Sarmad Mazin Alyas | Dentist | 37641 Pembroke Ave, Livonia, MI 48152-1050 | 2013-04-16 |
1568704468 | Arnold Harry Gartner | Dentist | 1547 W Long Lake Rd, Bloomfield Hills, MI 48302-1342 | 2013-03-19 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.