# ANN ARBOR SMILES HADDOCK PLLC

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

## Provider details

- **NPI number:** 1922506674
- **Authorized official:** SHARENE NICOLE RUMOHR (BILLER)
- **Authorized official phone:** (734) 255-8494

## Contact information

- **Practice address:** 1795 W STADIUM BLVD, ANN ARBOR, MI 48103-5290
- **Practice address phone:** (734) 662-3222
- **Practice address fax:** (734) 839-4137
- **Mailing address:** 1795 W STADIUM BLVD, ANN ARBOR, MI 48103-5290
- **Mailing address phone:** (734) 677-8700
- **Mailing address fax:** (734) 839-4137

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 01/29/2018
- **Last updated:** 08/01/2022