MEDICARE: KRITIKA JANGID KAMTHAN DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	2901603115	MI

General Provider Information

NPI Number	:	1710811005
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRITIKA JANGID KAMTHAN DDS

Provider Business Mailing Address
First Line	:	49510 COLDWATER RIDGE DR
Second Line	:
City	:	NORTHVILLE
State	:	MI
Zip	:	48168-8016
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2340 E STADIUM BLVD STE 6
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48104-4823
Country	:	US
Telephone Number	:	248-943-0147
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2026
Last Update Date	:	06/11/2026

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