Dale Robert Flanagin II, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901023168 Issued in MI

Practice address

2715 Packard St Ste B
Ann Arbor, MI 48108-3365

Phone

(734) 956-0654

NPI assigned

Jun 1, 2019

Sex

Male

Sole proprietor

Yes

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

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.

• Pro Dental Mi 1 PC

  • General Practice Dentistry
  • Wyoming, MI
  • NPI 1326875600
  NPD (past)

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

{
    "created_epoch": "1559347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1508424813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 PACKARD ST STE B",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481083365",
            "telephone_number": "734-956-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 PACKARD ST STE B",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481083365",
            "telephone_number": "734-956-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANAGIN",
        "first_name": "DALE",
        "middle_name": "ROBERT",
        "name_suffix": "II",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-01",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901023168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Paul Fivenson, MD
• Babar Fiza, MD
• Kevin Robert Flaherty, MD
• Anna Catherine Flanagan, NP
• Petra Elizabeth Flanagan, PHARM.D.
• Scott Alan Flanders, MD
• Mariana C Flatt, CRNA
• Sheila Dara Flaum, D.O.
• Salma M Fleifil, MD
• Christina Mary Fleischer

• Dentist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.