# REGENTS OF THE UNIVERSITY OF MICHIGAN SCHOOL OF DENTISTRY

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

## Provider details

- **NPI number:** 1912152430
- **Authorized official:** DR. ROMESH NALLIAH BDS (ASSOCIATE DEAN FOR PATIENT SERVICES)
- **Authorized official phone:** (888) 707-2500

## Contact information

- **Practice address:** 1011 N UNIVERSITY AVE, ANN ARBOR, MI 48109-1078
- **Practice address phone:** (888) 707-2500
- **Practice address fax:** (734) 647-4024
- **Mailing address:** 1011 N UNIVERSITY AVE, ANN ARBOR, MI 48109-1078
- **Mailing address phone:** (888) 707-2500
- **Mailing address fax:** (734) 647-4024

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | — | — |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 1223P0221X | Pediatric Dentistry | — | — | — |
| 1223P0300X | Periodontics | — | — | — |
| 1223P0700X | Prosthodontics | — | — | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | — |
| 1223X0008X | Oral and Maxillofacial Radiology Dentistry | — | — | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | — | — |

## Other

- **Enumeration date:** 11/25/2008
- **Last updated:** 09/03/2021