1. Home
  2. Directory
  3. Michigan
  4. Ann Arbor
  5. Dentist
  6. NPI Profile

DR. ELIZABETH MARIE CLAFLIN WYDERKO D.D.S.
NPI 1114048402
Dentist - General Practice in Ann Arbor, MI

Active since April 03, 2007PECOS Enrolled
2215 FULLER ROAD, DENTAL SERVICE 160, ANN ARBOR, MI 48105(734) 769-7100 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Elizabeth Marie Claflin Wyderko D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ELIZABETH MARIE CLAFLIN WYDERKO D.D.S. (NPI 1114048402) is an individual general practice provider in Ann Arbor, Michigan, licensed in Michigan (2901019339) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114048402
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ELIZABETH MARIE CLAFLIN WYDERKOCredential: D.D.S.
Location Address2215 FULLER ROAD, DENTAL SERVICE 160Ann Arbor, MI 48105
Mailing Address3043 Barclay WayAnn Arbor, MI 48105-9464
Phone(734) 769-7100
Sole ProprietorYes
Enumeration DateApril 3, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1114048402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MI · 2901019339
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2215 FULLER ROAD, Ann Arbor, MI 48105
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Michigan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Elizabeth Marie Claflin Wyderko D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TONI DESTER LMSW
Social Worker (Clinical)
2215 FULLER ROAD, SOCIAL WORK SERVICE
ANN ARBOR, MI 48105
Washtenaw County (734) 709-9234
DR. JESSICA ROSE ELLEM PHD
Psychologist (Clinical)
2215 FULLER ROAD, MENTAL HEALTH SERVICE LINE
ANN ARBOR, MI 48105
Washtenaw County (734) 769-7100
LISA HEARD
Licensed Practical Nurse
2215 FULLER ROAD
ANN ARBOR, MI 48105
Washtenaw County (419) 259-2000
DR. PAMELA JEANNE REEVES MD
Internal Medicine
2215 FULLER ROAD
ANN ARBOR, MI 48105
Washtenaw County (734) 760-7100
MRS. KAREN FOUTY PT, DPT
Physical Therapist
2215 FULLER ROAD
ANN ARBOR, MI 48105
Washtenaw County (734) 769-7100
MICHAEL ANDREW CLAY II M.D.
Internal Medicine
2215 FULLER ROAD, DEPARTMENT OF VETERAN AFFAIRS-AMBULATORY CARE (11A)
ANN ARBOR, MI 48105
Washtenaw County (734) 769-7100
MRS. JILL LEIGH SAVAGE LLMSW
Social Worker (Clinical)
2215 FULLER ROAD
ANN ARBOR, MI 48105
Washtenaw County (734) 769-7100
MRS. CYNTHIA ANN JACHYM RN
Registered Nurse
2215 FULLER ROAD
ANN ARBOR, MI 48105
Washtenaw County (734) 769-7100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Claflin Wyderko's NPI number?

The NPI number for Elizabeth Claflin Wyderko is 1114048402. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Where is Elizabeth Claflin Wyderko located?

Elizabeth Claflin Wyderko practices at 2215 Fuller Road Dental Service 160, Ann Arbor, MI 48105. The listed phone number is (734) 769-7100.

What is Elizabeth Claflin Wyderko's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Elizabeth Claflin Wyderko enrolled in Medicare?

Yes. Elizabeth Claflin Wyderko is registered in the Medicare PECOS enrollment system.

What insurance does Elizabeth Claflin Wyderko accept?

Health plans from Delta Dental of Michigan list Elizabeth Claflin Wyderko as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elizabeth Claflin Wyderko was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.