DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: 97 SMILES OF ANN ARBOR

MEDICARE: 97 SMILES OF ANN ARBOR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist

General Provider Information

NPI Number : 1124953849
Entity Type Code : Organization
Provider Name (Legal Business Name) : 97 SMILES OF ANN ARBOR
Provider Business Mailing Address
First Line : 3174 PACKARD ST
Second Line :
City : ANN ARBOR
State : MI
Zip : 48108-1947
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3174 PACKARD ST
Second Line :
City : ANN ARBOR
State : MI
Zip : 48108-1947
Country : US
Telephone Number : 313-342-1997
Fax Number :
Authorized Official
Title or Position : BILLING & CREDENTIALING MANAGER
Name : SUSAN DUNFORD
Credential :
Telephone Number : 313-342-1997
Provider Enumeration Date : 06/15/2026
Last Update Date : 06/15/2026

Similar Medicare Providers

1306956826 — DR. RAYMOND JOHN RION M.D.
Practice Location Address:
3174 PACKARD ST
ANN ARBOR, MI
48108-1947
Practice Phone: 734-971-1073
Practice Fax: 734-971-8545
1427168913 — DR. JERRY SAMUEL WALDEN M.D.
Practice Location Address:
3174 PACKARD ST
ANN ARBOR, MI
48108-1947
Practice Phone: 734-971-1073
Practice Fax: 734-971-8545
1417069030 — DR. MIRA PARKHIE SINHA M.D.
Practice Location Address:
3174 PACKARD ST
ANN ARBOR, MI
48108-1947
Practice Phone: 734-971-1073
Practice Fax: 734-971-8545
1790843092 — RAVI ALEXANDER VADLAMUDI M.D.
Practice Location Address:
3174 PACKARD ST
ANN ARBOR, MI
48108-1947
Practice Phone: 734-971-1073
Practice Fax: 734-971-8545
1881720266 — MS. AMY LYNN RENDON LMSW
Practice Location Address:
3174 PACKARD ST
ANN ARBOR, MI
48108-1947
Practice Phone: 734-368-5911
Practice Fax: 734-971-2487
1942414701 — MS. KAREN KRAUSE KOEPPE R.D.
Practice Location Address:
3174 PACKARD ST
ANN ARBOR, MI
48108-1947
Practice Phone: 734-971-1073
Practice Fax: 734-971-8545

Directions to “97 SMILES OF ANN ARBOR ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.