Healthcare Provider Details

I. General information

NPI: 1528836632
Provider Name (Legal Business Name): TRINITY DENTAL HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2023
Last Update Date: 02/09/2024
Certification Date: 02/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3768 PACKARD ST STE B
ANN ARBOR MI
48108-2090
US

IV. Provider business mailing address

3768 PACKARD ST STE B
ANN ARBOR MI
48108-2090
US

V. Phone/Fax

Practice location:
  • Phone: 734-975-0100
  • Fax:
Mailing address:
  • Phone: 734-975-0100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number
License Number State

VIII. Authorized Official

Name: DEBBY HWANG
Title or Position: DENTIST
Credential:
Phone: 734-707-7349