Regents of the University of Michigan Oral Pathology

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

2901018465 Issued in MI

Legal business name

REGENTS OF THE UNIVERSITY OF MICHIGAN ORAL PATHOLOGY

Practice address

1011 N University Ave
Ann Arbor, MI 48109-1078

Phone

(734) 764-1543

Fax

(734) 764-2469

NPI assigned

Nov 25, 2008

Organization subpart

No

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

Authorized official

Name

Kitrina Cordell, DDS

Title

Laboratory Director

Phone

(734) 647-8091

Specialties & licenses 1

Addresses

Tax ID family

Regents of the University of Michigan Oral Pathology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Regents of the University of Michigan Oral Pathology

  • Oral and Maxillofacial Pathology Dentistry
  • Ann Arbor, MI
  • NPI 1083739262
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Theodora E Danciu, DMD, DMSC

  • Oral and Maxillofacial Pathology Dentistry
  • Ann Arbor, MI
  • NPI 1184861080
  NPD

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1285889709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 N UNIVERSITY AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481091078",
            "telephone_number": "734-764-1543",
            "fax_number": "734-764-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N UNIVERSITY AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481091078",
            "telephone_number": "734-764-1543",
            "fax_number": "734-764-2469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENTS OF THE UNIVERSITY OF MICHIGAN ORAL PATHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-25",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "CORDELL",
        "authorized_official_first_name": "KITRINA",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "734-647-8091",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "MI",
            "license": "2901018465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regents of the University of Michigan Dental Faculty Associates
• Regents of the University of Michigan Dental Faculty Associates
• Regents of the University of Michigan Dental Faculty Associates
• Regents of the University of Michigan Mworks
• Regents of the University of Michigan Oral Pathology
• Regents of the University of Michigan Pediatric Surgery Offsite
• Regents of the University of Michigan School of Dentistry
• Regents of the University of Michigan School of Dentistry
• Regents of the University of Michigan-Psychological Clinic
• Regents of the University of Michigan-Regional Alliance for Hea

• Oral and Maxillofacial Pathology Dentistry in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Oral and Maxillofacial Pathology Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.