Healthcare Provider Details

I. General information

NPI: 1710811005
Provider Name (Legal Business Name): KRITIKA JANGID KAMTHAN DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2340 E STADIUM BLVD STE 6
ANN ARBOR MI
48104-4823
US

IV. Provider business mailing address

49510 COLDWATER RIDGE DR
NORTHVILLE MI
48168-8016
US

V. Phone/Fax

Practice location:
  • Phone: 248-943-0147
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number2901603115
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: