Organization · Type 2 NPI
Washtenaw General Dentistry Associates
Oral and Maxillofacial Surgery (Dentist) · Ypsilanti, MI
NPI number
1245392307
Active
Practice location
3075 W Clark Road, Suite 209
Ypsilanti, MI 48197
Fax (734) 434-6151
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | 16759 (MI) |
| General Practice Dentistry | 1223G0001X | 11107 (MI) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 16429 (MI) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
About NPI 1245392307
Washtenaw General Dentistry Associates's National Provider Identifier is 1245392307, issued on Dec 15, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Ypsilanti, MI. The record was last updated on Sep 11, 2025.