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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

NORTHSIDE PEDIATRIC DENTISTRY
NPI 1467384081
Dentist - Pediatric Dentistry in Ann Arbor, MI

Active since May 29, 2026
2000 GREEN RD, ANN ARBOR, MI 48105(254) 733-5260 Get Directions Write a Review

NPPES record added: May 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northside Pediatric Dentistry NPPES

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

NORTHSIDE PEDIATRIC DENTISTRY (NPI 1467384081) is a healthcare organization registered as a pediatric dentistry in Ann Arbor, Michigan and active in the NPI registry since May 2026. The organization lists Minjoo Sanker, Owner, as its authorized official.

NPPES Registry Identity

NPI1467384081
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameNORTHSIDE PEDIATRIC DENTISTRY
Location Address2000 GREEN RDAnn Arbor, MI 48105-1598
Mailing Address2400 Westbrooke Cir SAnn Arbor, MI 48105-3143
Phone(254) 733-5260
Organization SubpartNo
Authorized OfficialMinjoo SankerOwner · (254) 733-5260
Enumeration DateMay 29, 2026
NPPES CertifiedMay 29, 2026
✔ NPI 1467384081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2000 GREEN RD, Ann Arbor, MI 48105
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

JOHN C BASELLE MD
Emergency Medicine
2000 GREEN RD, SUITE 100
ANN ARBOR, MI 48105
Washtenaw County (734) 995-3764
SHEENA MARIE JAMES
Nurse Practitioner (Family)
2000 GREEN RD, SUITE 300
ANN ARBOR, MI 48105
Washtenaw County (734) 995-3764
DR. BRIAN WILLIAM ALLEN JR. MD
Emergency Medicine
2000 GREEN RD, #300
ANN ARBOR, MI 48105
Washtenaw County (800) 466-3764
MRS. TRACI LYNN GROSSMAN PA-C
Physician Assistant
2000 GREEN RD
ANN ARBOR, MI 48105
Washtenaw County (734) 995-2913
BEVERLY TESTERMAN NP
Nurse Practitioner (Family)
2000 GREEN RD
ANN ARBOR, MI 48105
Washtenaw County (734) 686-6362
DR. REBECCA LYNN PREPEJCHAL MD
Emergency Medicine
2000 GREEN RD, SUITE 300
ANN ARBOR, MI 48105
Washtenaw County (734) 686-6361
AAZAM HALEEM M.D.
Emergency Medicine
2000 GREEN RD
ANN ARBOR, MI 48105
Washtenaw County (734) 995-3764
MS. MARIANNE BONOMO NP
Nurse Practitioner (Family)
2000 GREEN RD, SUITE 300
ANN ARBOR, MI 48105
Washtenaw County (734) 995-3764

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 Northside Pediatric Dentistry's NPI number?

The NPI number for Northside Pediatric Dentistry is 1467384081. It was assigned to this organization in the NPPES registry on May 29, 2026.

Where is Northside Pediatric Dentistry located?

Northside Pediatric Dentistry is located at 2000 Green Rd, Ann Arbor, MI 48105. The listed phone number is (254) 733-5260.

What is Northside Pediatric Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Northside Pediatric Dentistry was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.