Organization
REGENTS OF THE UNIVERSITY OF MICHIGAN SCHOOL OF DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROMESH NALLIAH BDS (ASSOCIATE DEAN FOR PATIENT SERVICES)
(888) 707-2500
Entity
Organization
Contact information
Practice address
1011 N UNIVERSITY AVE, ANN ARBOR, MI 48109-1078
(888) 707-2500
(734) 647-4024
Mailing address
1011 N UNIVERSITY AVE, ANN ARBOR, MI 48109-1078
(888) 707-2500
(734) 647-4024
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
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
—
—
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026194
MIDWEST HEALTH
MI
01
—
0985982
HEALTH PLUS OF MI
MI
01
—
190H11093
BCBS OF MI MED SURGICAL
MI
05
—
2667823
—
OH
01
—
43-29007
PHP OF MI
MI
05
—
4613082
—
MI
05
—
4615102
—
MI
01
—
88006
DELTA OF MI GENL
MI
01
—
970H11102
BCBS OF MI MED SURGICAL
MI
01
—
D800336
BCBS OF MI DENTAL
MI
01
—
DD81017
M-CARE
MI
01
—
QMXPR0028409
MOLINA HEALTHCARE OF MI
MI
Enumeration date
03/20/2007
Last updated
09/03/2021
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