LAURICH DENTISTRY ANN ARBOR PLLC (NPI# 1699383695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699383695 |
| Entity Type | Organization |
| Organization Name | LAURICH DENTISTRY ANN ARBOR PLLC |
| Other Organization Name | LAURICH DENTISTRY ANN ARBOR |
| Practice Address |
2715 Packard St Ste B Ann Arbor MI 48108-3365 |
| Mailing Address |
18618 Middlebelt Rd Ste 105 Livonia MI 48152-3586 |
| Practice Telephone | 7349756700 |
| Practice Fax Number | 7349759035 |
| Mailing Telephone | 2484761960 |
| Mailing Fax Number | 2484792805 |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-08-01 |
| Authorized Official Name | ALICIA O KARACSON (OFFICE MANAGER) |
| Authorized Official Telephone | 2484761960 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Laurich Dentistry Ann Arbor | Doing Business As Name - Organization |
| Street Address |
2715 PACKARD ST STE B |
| 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 |
| Find all providers in zip 48108 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989341 | Steven Joseph Quell | Dentist | 3100 E Eisenhower Pkwy Ste 300, Ann Arbor, MI 48108-5205 | 2020-07-19 |
| 1417573312 | Jiwon Lim | Dentist | 1500 E Medical Center Dr Fl 2c213, Ann Arbor, MI 48109-5000 | 2020-06-17 |
| 1518582337 | Emma Jean Mattei | Dentist | 2920 Tepeyac Hill Dr, Ann Arbor, MI 48105-9388 | 2020-06-09 |
| 1053935155 | Elijah Noronha | Dentist | 4814 Washtenaw Ave Apt B5, Ann Arbor, MI 48108-1446 | 2020-06-04 |
| 1114572609 | Chandani Patel | Dentist | 1250 Horseshoe Cir Apt 106, Ann Arbor, MI 48108-2424 | 2019-08-02 |
| 1215422266 | Lucy Marie Johnson | Dentist | Va Health Ann Arbor Dental Service, 2215 Fuller Road, Ann Arbor, MI 48105-2303 | 2018-06-22 |
| 1376052647 | Shivika Verma | Dentist | 3071 Signature Blvd, Apartment #f, Ann Arbor, MI 48103 | 2017-09-29 |
| 1003339391 | Celia Sommer | Dentist | 1011 North University Ave, Ann Arbor, MI 48109-1078 | 2017-07-19 |
| 1952823346 | Claudia M Varvara | Dentist | 811 E Summerfield Glen Circle, Ann Arbor, MI 48103-9161 | 2017-07-07 |
| 1912436908 | Alison Nicole Tseng | Dentist | 2301 Platt Rd Ste 200, Ann Arbor, MI 48104 | 2017-06-05 |
| Find all providers in ANN ARBOR | ||||
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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.