Elaine K Gantz, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

13299 Issued in MI

Practice address

4005 Highland Rd
Waterford, MI 48328-2134

Phone

(248) 682-4971

NPI assigned

Jan 12, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gantz DDS PLLC

  • Dentist
  • Southfield, MI
  • NPI 1700269735
  Medicare reassignment NPD Authorized official
• Gantz, D.D.S., P.L.L.C.

  • Dentist
  • Southfield, MI
  • NPI 1356511950
  NPD Authorized official
• Shamoun Dental PLLC

  • Dental Clinic/Center
  • Waterford, MI
  • NPI 1427883792
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1013996537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483282134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483282134",
            "telephone_number": "248-682-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANTZ",
        "first_name": "ELAINE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "13299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Future Medical Home Health Inc
• Mirissa Lynne Gagnier
• Olivia Gagnon, QMHP
• Najiba Gaines-Hanna
• Patricia Gallino, MA TLLP
• Toby Marsha Gantz, LMSW
• Denise Gappy, RPH
• Blerta Lici Gaqi, DO
• Crystal Lee Garcia-Pitts
• Holly Gardner

• Dentist in Waterford, MI
• Providers in Waterford, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.