Organization Active NPI

Ann Arbor Dental Care, PLLC

  • Prosthodontics
  • Ann Arbor, MI
National Provider Identifier
1972983138
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
13315 Issued in MI
Legal business name
ANN ARBOR DENTAL CARE, PLLC
Practice address
450 S Wagner Rd
Ann Arbor, MI 48103-1944
Phone
(734) 668-8420
Fax
(734) 668-1397
NPI assigned
Jun 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

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

Authorized official

Name
Dr. Kevin M Sloan, D.D.S., M.S.
Title
Owner/Practitioner
Phone
(734) 668-8420

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 20001 MI
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X 13315 MI Primary

Addresses

Primary practice location

450 S Wagner Rd
Ann Arbor, MI 48103-1944

Mailing address

450 S Wagner Rd
Ann Arbor, MI 48103-1944
Phone (734) 668-8420

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1972983138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 S WAGNER RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481031944",
            "telephone_number": "734-668-8420",
            "fax_number": "734-668-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S WAGNER RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481031944",
            "telephone_number": "734-668-8420",
            "fax_number": "734-668-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN ARBOR DENTAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-03",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "SLOAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "734-668-8420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "20001",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "MI",
            "license": "13315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.