KEVIN WIECZERZA, DDS, PLLC
NPI 1295468411
Clinic/Center - Dental in Ann Arbor, MI

Active since July 05, 2022
4075 STONE SCHOOL RD, ANN ARBOR, MI 48108(734) 971-2200 Get Directions Write a Review

NPPES record last updated: July 5, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kevin Wieczerza, Dds, Pllc NPPES

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

KEVIN WIECZERZA, DDS, PLLC (NPI 1295468411), doing business as Wolverine Family Dentistry, is a healthcare organization registered as a dental in Ann Arbor, Michigan and active in the NPI registry since July 2022. The organization lists Kevin Wieczerza, Owner, as its authorized official.

NPPES Registry Identity

NPI1295468411
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameKEVIN WIECZERZA, DDS, PLLC
Location Address4075 STONE SCHOOL RDAnn Arbor, MI 48108-9723
Mailing Address4075 Stone School RdAnn Arbor, MI 48108-9723 · (734) 971-2200
Organization SubpartNo
Authorized OfficialKevin WieczerzaOwner · (518) 320-6912
Enumeration DateJuly 5, 2022
NPPES CertifiedJuly 5, 2022
NPI 1295468411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
4075 STONE SCHOOL RD, Ann Arbor, MI 48108

Other Names 1

Doing Business AsWolverine Family Dentistry

Other Providers at the Same Location NPPES 2

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

Dentist
4075 STONE SCHOOL RD
ANN ARBOR, MI 48108
Dentist (General Practice)
4075 STONE SCHOOL RD
ANN ARBOR, MI 48108

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 Kevin Wieczerza, Dds, PLLC's NPI number?

The NPI number for Kevin Wieczerza, Dds, PLLC is 1295468411. It was assigned to this organization in the NPPES registry on July 5, 2022. The provider is doing business as Wolverine Family Dentistry.

Where is Kevin Wieczerza, Dds, PLLC located?

Kevin Wieczerza, Dds, PLLC is located at 4075 Stone School Rd, Ann Arbor, MI 48108. The listed phone number is (734) 971-2200.

What is Kevin Wieczerza, Dds, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Kevin Wieczerza, Dds, PLLC was last updated on July 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.