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REGENTS OF THE UNIVERSITY OF MICHIGAN DENTAL FACULTY ASSOCIATES
1011 N UNIVERSITY AVE
ANN ARBOR, MI48109-1078
 Phone: 734-764-3155
 Fax: 734-615-4784
 Website:
Indicates primary specialty

NPI Profile & details for REGENTS OF THE UNIVERSITY OF MICHIGAN DENTAL FACULTY ASSOCIATES

NPI # 1932279882
LBN Legal business name REGENTS OF THE UNIVERSITY OF MICHIGAN DENTAL FACULTY ASSOCIATES
Authorized official PETER POLVERINI - (DEAN, UNIV OF MI SCHOOL OF DENTISTR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/08/2006
Last updated 08/20/2008 - About 18 years ago
Identifiers
MI License # 2901016040
MI Medicaid 4504346
MI Medicaid 4504373
OH Medicaid 2667609
MI Other D800363 BCBS OF MI GENLDENTIST
MI Other 190H110980 BCBS OF MI MEDSURG #
MI Other 970H110770 BCBS OF MI ORALSURGERY
MI Other 88054 DELTA DENTAL OF MI - GENL
MI Other XX19411 HEALTH PLUS OF MI
MI Other 1006664 MCLAREN ADVANTAGE
MI Other 025748 MIDWEST HEALTH
MI Other QMXPR0014549 MOLINA HEALTHCARE
MI Other 43-20001 PHP OF MI
MI Other 43-28004 PHP OF MI
MI Other 1476671 UNITED CONCORDIA
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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