Individual provider · Type 1 NPI

Eddie Pantzlaff, DDS

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

NPI number 1801248471 Active

Practice location

1500 E. Medical Center Drive, G1200 Towsley Ctr, Rm 1211
Ann Arbor, MI 48109-5222

Call (734) 936-5950 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X2901022023 (MI)
Student in an Organized Health Care Education/Training Program Primary 390200000X2901022023 (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 1801248471

Eddie Pantzlaff, DDS's National Provider Identifier is 1801248471, issued on Jul 7, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ann Arbor, MI. The record was last updated on May 11, 2018.