Regents Of The University Of Michigan Dental Faculty Associates

LBN: Regents Of The University Of Michigan Dental Faculty Associates
Regents Of The University Of Michigan Dental Faculty Associates is an health care organization with primary practice located at 1011 N University Ave , Ann Arbor MI 48109-1078. The organization recently has 10 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics, Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Pathology, Dental Providers / Pediatric Dentistry, Dental Providers / Periodontics, Dental Providers / Prosthodontics, Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Radiology, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / General Practice is the primary health care specialty. Regents Of The University Of Michigan Dental Faculty Associates can be contacted via phone (734) 764-3155, or through Polverini, Peter J via phone (734) 764-9185.

Contact Information

Primary practice address
1011 N University Ave Ann Arbor MI 48109-1078
Phone: (734) 764-3155
Fax: (734) 615-4784
Website:
Map and Directions
Authorized official contact:
Name: Polverini, Peter J Doctor of Dental Surgery (DDS)
Phone: (734) 764-9185

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Dental Providers / Endodontics 1223E0200X
Dental Providers / General Practice 1223G0001X 2901016040 Michigan
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X
Dental Providers / Pediatric Dentistry 1223P0221X
Dental Providers / Periodontics 1223P0300X
Dental Providers / Prosthodontics 1223P0700X
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X
Dental Providers / Oral and Maxillofacial Radiology 1223X0008X
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X

Profile Details

NPI number 1932279882
LBN Legal business name Regents Of The University Of Michigan Dental Faculty Associates
DBA Doing business as
Authorized official Polverini, Peter J Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2006
Last updated Aug 20th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932279882 NPPES
Michigan Other 970H110770 BCBS OF MI ORALSURGERY
Michigan Other XX19411 BCBS OF MI ORALSURGERY
Michigan Other 1006664 BCBS OF MI ORALSURGERY
Michigan MEDICAID 2667609 BCBS OF MI ORALSURGERY
Michigan Other 43-20001 BCBS OF MI ORALSURGERY
Michigan Other 43-28004 BCBS OF MI ORALSURGERY
Michigan MEDICAID 4504346 BCBS OF MI ORALSURGERY
Michigan Other 190H110980 BCBS OF MI ORALSURGERY
Michigan Other 025748 BCBS OF MI ORALSURGERY
Michigan Other 1476671 BCBS OF MI ORALSURGERY
Michigan MEDICAID 4504373 BCBS OF MI ORALSURGERY
Michigan Other 88054 BCBS OF MI ORALSURGERY
Michigan Other D800363 BCBS OF MI ORALSURGERY
Michigan Other QMXPR0014549 BCBS OF MI ORALSURGERY

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