Kathleen Ptashnik, DDS is a
Student In An Organized Health Care Education/training Program based in Detroit, Michigan. Kathleen Ptashnik is licensed to practice in Michigan (license number 2951001028) and her current practice location is
2700 Martin Luther King Jr Blvd, Detroit, Michigan. She can be reached at her office (for appointments etc.) via phone at
(313) 494-6873.
NPI number for Kathleen Ptashnik is 1104753383 and her current mailing address is 2700 Martin Luther King Jr Blvd, Detroit, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104753383.
Healthcare Provider's Profile
| Full Name | Kathleen Ptashnik |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 2700 Martin Luther King Jr Blvd, Detroit, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104753383
- Provider Enumeration Date: 05/04/2026
- Last Update Date: 06/04/2026
Medical Identifiers
Medical identifiers for Kathleen Ptashnik such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1104753383 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 122300000X | Dentist | 2951001028 (Michigan) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 2951001028 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathleen Ptashnik is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Kathleen Ptashnik, DDS 2700 Martin Luther King Jr Blvd, Detroit, MI 48208-2576 Ph: (313) 494-6873 | Kathleen Ptashnik, DDS 2700 Martin Luther King Jr Blvd, Detroit, MI 48208-2576 Ph: (313) 494-6873 |
Reviews and Comments