Angela Lynn Harrell, DDS
Individual provider Active NPI General Practice Dentistry · Ortonville, MI
NPI 1669608261 · NPPES record last updated Jan 15, 2015
Key facts
- NPI
- 1669608261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2901020788 (MI)
- Practice address
- 1201 S Ortonville Rd
Ortonville, MI 48462-7600 - Phone
- (248) 762-4850
- NPI assigned
- Jun 9, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170103000115 | MI | Order and Referring Only - Dentist |
7012298243 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901020788 | MI | MD | General Practice Dentistry |
| 055384 | NY | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901020788 | MI | Yes |
| Dentist | 122300000X | 57713 | CA | |
| General Practice Dentistry | 1223G0001X | 055384 | NY |
Addresses
Primary practice location
1201 S Ortonville Rd
Ortonville, MI 48462-7600
Mailing address
1201 S Ortonville Rd
Ortonville, MI 48462-7600
Phone (248) 762-4850
Other names
- Dr. Angela Lynn Wojtkowicz
Other providers in Ortonville, MI
- Ladonna J. Gordon
- Nancy Ann Gorelick
- Ruchita Talshibhai Goyani
- Lynette Marie Griffin
- Koiki Xan Hallberg
- Royann Marie Hassinger
- Susan A Hawley
- Janet Delores Heasley
- Elena Guadalupe Hopkins
- Alexis Johnson
All providers in Ortonville, MI · General Practice Dentistry in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.