Healthcare Provider Details

I. General information

NPI: 1568553980
Provider Name (Legal Business Name): DR. GEORGE ASH, D.D.S., M.S., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 07/30/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5770 WARREN RD
ANN ARBOR MI
48105-9425
US

IV. Provider business mailing address

5770 WARREN RD
ANN ARBOR MI
48105-9425
US

V. Phone/Fax

Practice location:
  • Phone: 734-747-8101
  • Fax: 734-747-8101
Mailing address:
  • Phone: 734-747-8101
  • Fax: 734-747-8101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. GEORGE M ASH
Title or Position: OWNER
Credential: D.D.S.
Phone: 734-717-8101