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General NPI Number Information
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NPI Number | 1326118233
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Entity Type | Organization
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Legal Business Name | WASHTENAW DENTAL ASSOCIATES PC
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2100 WASHTENAW AVE
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City | YPSILANTI
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State | MI
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Zip | 48197
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Country | US
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Telephone | 734-485-4600
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Fax | 734-485-4601
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Provider Business Mailing Address
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Address Line | 2100 WASHTENAW AVE
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City | YPSILANTI
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State | MI
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Zip | 48197
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Country | US
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Telephone | 734-485-4600
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Fax | 734-485-4601
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | DR. DENNIS G DONOHO
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Credential |
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Telephone | 734-485-4600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2901012331
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 2901018693
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License Number State | MI
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