SCARLETT KETTWICH (NPI# 1881212488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881212488 |
| Entity Type | Individual |
| Full Name | SCARLETT KETTWICH |
| Credential | DMD |
| Practice Address |
2215 Fuller Rd Ann Arbor MI 48105-2303 |
| Mailing Address |
2487 Tapio Cir Ann Arbor MI 48105-2287 |
| Practice Telephone | 7348453411 |
| Mailing Telephone | 8087566337 |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2020-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2951000827 | MI | Dental Providers |
| Street Address |
2215 FULLER RD |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48105-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619975075 | Susan M Meador | Pharmacist | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2005-07-11 |
| 1972101103 | Blaine Franklin | Physical Therapist | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2020-10-10 |
| 1306443262 | Benjamin Pfeifer | Psychologist | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2020-10-05 |
| 1083223044 | John Zemicki | Pharmacist | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2020-07-27 |
| 1790394955 | Jyness Ariel Williams | Pharmacist | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2020-07-23 |
| 1114545761 | Emily Sahagian | Pharmacist | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2020-07-10 |
| 1831717586 | Jessica Vogt | Physical Therapist | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2020-07-09 |
| 1518584879 | Lauren Mcculley | Pharmacist | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2020-07-02 |
| 1023634243 | Amanjot Kaur Sarao | Dentist | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2020-06-23 |
| 1376169540 | Ivan Nenadic Wood | Student in an Organized Health Care Education/Training Program | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2020-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730728718 | Alexander Jendrusina | Psychologist | Va Ann Arbor Healthcare System, 2215 Fuller Rd, Ann Arbor, MI 48105 | 2019-12-23 |
| 1417515875 | Christine Shyh Wang | Student in an Organized Health Care Education/Training Program | 4029 Avenue Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2019-05-31 |
| 1013475003 | Ryan Wang | Physician Assistant | 4883 S. Ridgeside Cir, Ann Arbor, MI 48105 | 2019-03-08 |
| 1801366265 | Amruta Sonavaria | Physical Therapist | 4701 East Huron River Drive, Ann Arbor, MI 48105 | 2018-11-28 |
| 1568955730 | Alexander Sliwicki | Pediatrics | 1500 East Medical Drive, Medical Professional Building, Ann Arbor, MI 48105 | 2018-06-12 |
| 1902398464 | Austin Remington | Student in an Organized Health Care Education/Training Program | 4029 Ave Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2018-05-31 |
| 1881191658 | Stephen James Hickner | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Outpatient Psychiatric Services, 2006 Hogback Road, Suite 1, Ann Arbor, MI 48105 | 2018-04-09 |
| 1245681709 | Winnie Nhan | Internal Medicine | 4000 Ave Maria Dr, Lobby C Suite 1300, Ann Arbor, MI 48105 | 2016-06-27 |
| 1861857971 | Connie Chen | Pharmacist | 2215 Fuller Road (119), Ann Arbor, MI 48105 | 2015-12-17 |
| 1407241193 | Stefan Craciun | Emergency Medicine | 3484 Ashburnam Rd, Ann Arbor, MI 48105 | 2015-03-31 |
| Find all providers in zip 48105 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023635232 | Mamatha Valishetty | Dentist | 2776 Sagebrush Cir Apt 106, Ann Arbor, MI 48103-8776 | 2020-07-03 |
| 1144846171 | Leah Baldinger | Dentist | 1500 E Medical Center Dr Spc 5222, Ann Arbor, MI 48109-5222 | 2020-06-25 |
| 1700446879 | Nathalia Paiva De Andrade | Dentist | 1011 N University Ave # 1324, Ann Arbor, MI 48109-1078 | 2019-06-19 |
| 1801456173 | Suzette Damarlie Laing | Dentist | 1011 N University Ave Rm 1324, Ann Arbor, MI 48109-1078 | 2019-06-18 |
| 1851959241 | Catherine Haviland | Dentist | 1011 N University Ave Spc 1078, Ann Arbor, MI 48109-1078 | 2019-05-31 |
| 1801372008 | Joseph Fazzio | Dentist | 465 Harbor Way, Ann Arbor, MI 48103-6666 | 2018-07-11 |
| 1255824371 | Sergio Fabian Calleja Blanco | Dentist | 917 S Forest Ave, Ann Arbor, MI 48104-3542 | 2018-06-13 |
| 1669965257 | Tarek Nabil Metwally | Dentist | Michigan Medicine, University of Michigan Dept of Omfs, 1515 Hospital Dr. G1218 Towsley, Spc 5222, Ann Arbor, MI 48109-5222 | 2018-06-08 |
| 1326551011 | Ali Bushahri | Dentist | 1011 North University, Ann Arbor, MI 48109-1078 | 2017-11-16 |
| 1689193278 | Ennis Malik Bedair | Dentist | 1500 E. Medical Center Dr., Med Inn C213a, Ann Arbor, MI 48109 | 2017-09-14 |
| 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.