# WALCOTTDENTAL, PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457801169
- **Authorized official:** DR. BRETT J WALCOTT D.D.S (PARTNER/OWNER)
- **Authorized official phone:** (734) 994-3700

## Contact information

- **Practice address:** 1910 PACKARD ST, STE. 1, ANN ARBOR, MI 48104-4734
- **Practice address phone:** (734) 994-3700
- **Mailing address:** 1910 PACKARD ST, STE. 1, ANN ARBOR, MI 48104-4734
- **Mailing address phone:** (734) 994-3700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901019587 | MI | Yes |

## Other

- **Enumeration date:** 10/05/2016
- **Last updated:** 10/05/2016