# ANN ARBOR DENTAL CARE, PLLC

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

## Provider details

- **NPI number:** 1972983138
- **Authorized official:** DR. KEVIN M SLOAN D.D.S., M.S. (OWNER/PRACTITIONER)
- **Authorized official phone:** (734) 668-8420

## Contact information

- **Practice address:** 450 S WAGNER RD, ANN ARBOR, MI 48103-1944
- **Practice address phone:** (734) 668-8420
- **Practice address fax:** (734) 668-1397
- **Mailing address:** 450 S WAGNER RD, ANN ARBOR, MI 48103-1944
- **Mailing address phone:** (734) 668-8420
- **Mailing address fax:** (734) 668-1397

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 20001 | MI | — |
| 1223P0700X | Prosthodontics | 13315 | MI | Yes |

## Other

- **Enumeration date:** 06/03/2015
- **Last updated:** 06/03/2015