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Organization
REGENTS OF THE UNIV OF MI COMMUNITY DENTAL CENTER
Active
Organization
REGENTS OF THE UNIV OF MI COMMUNITY DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORIS J ALLEN DDS (DIRECTOR)
(734) 998-9640
Entity
Organization
Contact information
Practice address
406 N ASHLEY ST, ANN ARBOR, MI 48109-3308
(734) 998-9640
(734) 998-9647
Mailing address
406 N ASHLEY ST, ANN ARBOR, MI 48109-3308
(734) 998-9640
(734) 998-9647
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
NULL
1223G0001X
General Practice Dentistry
—
—
1223P0300X
Periodontics
—
NULL
1223P0300X
Periodontics
—
—
124Q00000X
Dental Hygienist
—
NULL
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
NULL
126800000X
Dental Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88067
DELTA DENTAL OF MI DENTIS
MI
01
—
88129
DELTA DENTAL OF MI PERIO
MI
01
—
D800484
BCBS OF MI DENTAL
MI
Enumeration date
03/20/2007
Last updated
09/11/2025
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