MEDICARE: AO OF TROY PLLC

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
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1720621659
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AO OF TROY PLLC

Provider Business Mailing Address
First Line	:	3456 SHATTUCK RD STE 3
Second Line	:
City	:	SAGINAW
State	:	MI
Zip	:	48603-7013
Country	:	US
Telephone Number	:	989-792-8315
Fax Number	:

Provider Business Practice Location Address
First Line	:	363 W BIG BEAVER RD STE 225
Second Line	:
City	:	TROY
State	:	MI
Zip	:	48084-5242
Country	:	US
Telephone Number	:	248-817-5662
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MGR
Name	:	RACHAEL KRZYZANIAK
Credential	:
Telephone Number	:	989-792-8315

Provider Enumeration Date	:	10/23/2019
Last Update Date	:	10/23/2019

Similar Medicare Providers

1154254852 — NATALI SALAYTAH
Practice Location Address:

363 W BIG BEAVER RD STE 315
TROY, MI
48084-5242

Practice Phone: 248-354-8460
Practice Fax:

1871894675 — FATEN Y BAZZI MS, LLP
Practice Location Address:

363 W BIG BEAVER RD STE 315
TROY, MI
48084-5242

Practice Phone: 248-354-8460
Practice Fax:

1689006975 — ARAB AMERICAN AND CHALDEAN COUNCIL
Practice Location Address:

363 W BIG BEAVER RD STE 315
TROY, MI
48084-5242

Practice Phone: 248-354-8460
Practice Fax: 248-354-4979

1861818577 — DR. ANDREA RAWAT LLP, LPC
Practice Location Address:

363 W BIG BEAVER RD STE 400
TROY, MI
48084-5242

Practice Phone: 248-509-7657
Practice Fax: 248-509-7658

1417424110 — EVON GERGIS
Practice Location Address:

363 W BIG BEAVER RD STE 315
TROY, MI
48084-5242

Practice Phone: 248-354-8460
Practice Fax: 248-354-4979

1407529654 — ELHAM MOGHADDAM
Practice Location Address:

363 W BIG BEAVER RD STE 400
TROY, MI
48084-5242

Practice Phone: 248-509-7657
Practice Fax:

Directions to “AO OF TROY PLLC ” 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.