ANN ARBOR PERIODONTICS (NPI# 1699309500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699309500 |
| Entity Type | Organization |
| Organization Name | ANN ARBOR PERIODONTICS |
| Practice Address |
2715 Packard St Ste C Ann Arbor MI 48108-3365 |
| Practice Telephone | 7348222200 |
| Enumeration Date | 2020-02-29 |
| Last Update Date | 2020-02-29 |
| Authorized Official Name | DR. STEPHEN MERAW (OWNER) |
| Authorized Official Telephone | 7348222200 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers |
| Street Address |
2715 PACKARD ST STE C |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48108-3365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750999249 | Creating Brighter Futures | Behavioral Analyst | 4201 Varsity Drive, Ste. C, Ann Arbor, MI 48108 | 2020-07-21 |
| 1326506320 | Michelle Bishop | Behavior Technician | 4935 Birch Hollow Dr, Ann Arbor, MI 48108 | 2019-03-08 |
| 1407326077 | Alexis Ewald | Behavior Technician | 2770 Carpenter Rd., Ann Arbor, MI 48108 | 2018-11-27 |
| 1003308511 | Ann Arbor Dental Specialists | Dentist | 3100 Eisenhower Parkway, Suite 200, Ann Arbor, MI 48108 | 2018-05-31 |
| 1144719295 | Jonathan Parker Etter | Physical Medicine & Rehabilitation | 325 E. Eisenhower, Suite 300, Spc 5744, Ann Arbor, MI 48108 | 2018-05-04 |
| 1427555895 | Blossom Health Services LLC | Social Worker | 2156 Glencoe Hills Dr Apt 12, Ann Arbor, MI 48108 | 2018-04-11 |
| 1669974580 | Camron Anthony Moorehead | Occupational Therapist | 400 E. Eisenhower Parkway Bldg 2, Ste A, Ann Arbor, MI 48108 | 2018-03-07 |
| 1396247862 | Crystal Ann D'agostino | Health Educator | 1169 Oak Valley Drive, Ann Arbor, MI 48108 | 2018-03-01 |
| 1538671250 | Miea Moon | Psychologist | 3200 E Eisenhower Parkway, Moriah Hall, Ann Arbor, MI 48108 | 2017-11-03 |
| 1003355546 | Rachael Connolly | Behavior Technician | 4201 Varsity Drive Suite C, Ann Arbor, MI 48108 | 2017-02-16 |
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| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174134605 | Bay Periodontics | Dentist | 1666 Towsley Ln, Ann Arbor, MI 48105-9336 | 2020-08-10 |
| 1861722993 | Heba Abuhussein | Dentist | 290 Columbus Dr, Ann Arbor, MI 48103-2791 | 2010-01-13 |
| 1871798314 | Nivedita Kumar | Dentist | 2755 Carpenter Rd Ste 2, Ann Arbor, MI 48108-1186 | 2007-06-15 |
| 1629177613 | William P Sorensen | Dentist | 2715 Packard St, Suite C, Ann Arbor, MI 48108 | 2006-09-22 |
| 1598784837 | Mark David Zahn | Dentist | 2207 Jackson Ave, Ann Arbor, MI 48103-3919 | 2006-07-18 |
| 1982041836 | Alexandra Blake Plonka | Dentist | 1011 N University Ave, Department of Periodontics and Oral Medicine, Ann Arbor, MI 48109-1078 | 2013-06-02 |
| 1639434301 | Lindsey Marie Steele | Dentist | 1011 N University Ave, Ann Arbor, MI 48109-1078 | 2012-07-09 |
| 1588978647 | Suzanne Anderson Mason | Dentist | 1011 N University Ave, Univ. of Michigan School of Dentistry, Ann Arbor, MI 48109-1078 | 2010-08-01 |
| 1154659381 | Julius Edwin Bunek II | Dentist | 2715 Packard St, Ann Arbor, MI 48108-3336 | 2009-11-30 |
| 1376784942 | Jill Dawn Bashutski | Dentist | 1011 N University Ave, Rm 1324, Ann Arbor, MI 48109-1078 | 2009-03-11 |
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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.