Individual provider · Type 1 NPI

Kathleen Ptashnik, DDS

Student in an Organized Health Care Education/Training Program · Detroit, MI

NPI number 1104753383 Active

Practice location

2700 Martin Luther King Jr Blvd
Detroit, MI 48208-2576

Call (313) 494-6873 Map

Fax (313) 494-6834

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X2951001028 (MI)
Student in an Organized Health Care Education/Training Program Primary 390200000X2951001028 (MI)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104753383

Kathleen Ptashnik, DDS's National Provider Identifier is 1104753383, issued on May 4, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Detroit, MI. The record was last updated on Jun 4, 2026.