| Blossom Pediatric Dentistry & Orthodontics | |
|
3100 Eisenhower Parkway Suite 200 Ann Arbor MI 48108 | |
| (734) 971-3368 | |
| (734) 971-3979 |
| Full Name | Blossom Pediatric Dentistry & Orthodontics |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3100 Eisenhower Parkway, Ann Arbor, Michigan |
| Authorized Official Name and Position | Elizabeth A Barber (PRESIDENT) |
| Authorized Official Contact | 7349713368 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blossom Pediatric Dentistry & Orthodontics 3100 Eisenhower Parkway Suite 200 Ann Arbor MI 48108 Ph: (734) 971-3368 | Blossom Pediatric Dentistry & Orthodontics 3100 Eisenhower Parkway Suite 200 Ann Arbor MI 48108 Ph: (734) 971-3368 |
| NPI Number | 1003308511 |
|---|---|
| Provider Enumeration Date | 05/31/2018 |
| Last Update Date | 05/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003308511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 2901020165 (Michigan) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 2901019552 (Michigan) | Secondary |
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› Verified 9 days ago
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