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MISS ELIZABETH ANNE VANTUBERGEN DDS
NPI 1477787489
Dentist in South Lyon, MI

Active since May 05, 2009PECOS Enrolled
21800 PONTIAC TRAIL, STE 100, SOUTH LYON, MI 48178(248) 437-8300(248) 437-8066 Get Directions Write a Review

NPPES record last updated: May 5, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Miss Elizabeth Anne Vantubergen Dds NPPES

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

MISS ELIZABETH ANNE VANTUBERGEN DDS (NPI 1477787489) is an individual dentist in South Lyon, Michigan, licensed in Michigan (2901019921) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477787489
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameMISS ELIZABETH ANNE VANTUBERGENCredential: DDS
Location Address21800 PONTIAC TRAIL, STE 100South Lyon, MI 48178
Mailing Address21800 Pontiac Trail, Ste 100South Lyon, MI 48178 · (248) 437-8300 · Fax (248) 437-8066
Phone(248) 437-8300
Fax(248) 437-8066
Sole ProprietorNo
Enumeration DateMay 5, 2009
✔ NPI 1477787489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MI · 2901019921
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
21800 PONTIAC TRAIL, South Lyon, MI 48178
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Elizabeth Anne Vantubergen Dds 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 48178 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 2

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

DR. KELLY JIM RIGNEY DDS
Dentist (General Practice)
21800 PONTIAC TRAIL, SUUITE 100
SOUTH LYON, MI 48178
Oakland County (248) 437-8300
PAUL L SIMON DDS PLC
Dentist (General Practice)
21800 PONTIAC TRAIL, STE 100
SOUTH LYON, MI 48178
Oakland County (248) 437-8300

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 Vantubergen's NPI number?

The NPI number for Elizabeth Vantubergen is 1477787489. It was assigned to this individual provider in the NPPES registry on May 5, 2009.

Where is Elizabeth Vantubergen located?

Elizabeth Vantubergen practices at 21800 Pontiac Trail Ste 100, South Lyon, MI 48178. The listed phone number is (248) 437-8300.

What is Elizabeth Vantubergen's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Elizabeth Vantubergen enrolled in Medicare?

Yes. Elizabeth Vantubergen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elizabeth Vantubergen was last updated on May 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.