Healthcare Provider Details

I. General information

NPI: 1003725912
Provider Name (Legal Business Name): DANIEL G ANKOVIAK DDS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 S WILLIAMS ST
BAY CITY MI
48706-4610
US

IV. Provider business mailing address

207 S WILLIAMS ST
BAY CITY MI
48706-4610
US

V. Phone/Fax

Practice location:
  • Phone: 989-684-4511
  • Fax: 989-460-0465
Mailing address:
  • Phone: 989-684-4511
  • Fax: 989-460-0465

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DANIEL G ANKOVIAK
Title or Position: OWNER
Credential: DDS
Phone: 989-684-4511