| Regents Of The University Of Michigan Oral Pathology | |
|
1011 N University Ave Ann Arbor MI 48109-1078 | |
| (734) 764-1543 | |
| (734) 764-2469 |
| Full Name | Regents Of The University Of Michigan Oral Pathology |
|---|---|
| Speciality | Dentist |
| Location | 1011 N University Ave, Ann Arbor, Michigan |
| Authorized Official Name and Position | Nisha J. D'silva (LABORATORY DIRECTOR) |
| Authorized Official Contact | 7347641543 |
| 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 Oral Pathology 4251 Plymouth Rd Building 3 Suite 2400 Ann Arbor MI 48109-2789 Ph: (734) 647-8091 | Regents Of The University Of Michigan Oral Pathology 1011 N University Ave Ann Arbor MI 48109-1078 Ph: (734) 764-1543 |
| NPI Number | 1083739262 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 02/04/2014 |
| Medicare PECOS PAC ID | 2466414685 |
|---|---|
| Medicare Enrollment ID | O20041101000053 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083739262 | NPI | - | NPPES |
| 027740 | Other | MI | MIDWEST HEALTH |
| 190H110650 | Other | MI | BCBS OF MI MED SURGICAL |
| DD81014 | Other | MI | M-CARE |
| XX20091 | Other | MI | HEALTH PLUS OF MI |
| QMXPR0013422 | Other | MI | MOLINA HEALTHCARE OF MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | (* (Not Available)) | Primary |
| Provider Name | Peter J Polverini |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1699808857 PECOS PAC ID: 9436112802 Enrollment ID: I20041105001051 |
| Provider Name | Theodora E Danciu |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1184861080 PECOS PAC ID: 8628134939 Enrollment ID: I20090311000169 |
| Provider Name | Nisha J Dsilva |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1578687315 PECOS PAC ID: 1850353798 Enrollment ID: I20100614000766 |
| Provider Name | Yu Leo Lei |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1235501768 PECOS PAC ID: 0941505713 Enrollment ID: I20160217000359 |
| Provider Name | Chia-cheng Li |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1588900518 PECOS PAC ID: 6507085545 Enrollment ID: I20190606002368 |
| Provider Name | Margarita S Katser |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1235690405 PECOS PAC ID: 5193054682 Enrollment ID: I20230825000606 |
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 |