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GANTZ DDS PLLC
NPI 1700269735
Dentist in Southfield, MI

Active since July 08, 2015
25865 W 12 MILE RD, SOUTHFIELD, MI 48034(248) 353-4010(248) 353-0829 Get Directions Write a Review

NPPES record last updated: April 12, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Gantz Dds Pllc NPPES

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

GANTZ DDS PLLC (NPI 1700269735) is a healthcare organization registered as a dentist in Southfield, Michigan and active in the NPI registry since July 2015. The organization lists Elaine K Gantz, Owner, as its authorized official.

NPPES Registry Identity

NPI1700269735
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameGANTZ DDS PLLC
Location Address25865 W 12 MILE RDSouthfield, MI 48034-1817
Mailing Address25865 W 12 Mile RdSouthfield, MI 48034-1817 · (248) 353-4010 · Fax (248) 353-0829
Phone(248) 353-4010
Fax(248) 353-0829
Organization SubpartNo
Authorized OfficialElaine K GantzOwner · (248) 353-4010
Enumeration DateJuly 8, 2015
Last NPPES UpdateApril 12, 2016
✔ NPI 1700269735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MI · 2901013299
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.
25865 W 12 MILE RD, Southfield, MI 48034
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gantz Dds Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Gantz DDS PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Neena Leverenz, DDS
Oral Surgery
NPI 1336582162
25865 W 12 MILE RD # D1
Southfield, MI 48034
(248) 535-4010
✔ PECOSSame address
Elaine Gantz, D.D.S.
Oral Surgery
NPI 1013996537
4005 HIGHLAND RD
Waterford, MI 48328
(248) 682-4971
✔ PECOS11 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Gantz Dds PLLC's NPI number?

The NPI number for Gantz Dds PLLC is 1700269735. It was assigned to this organization in the NPPES registry on July 8, 2015.

Where is Gantz Dds PLLC located?

Gantz Dds PLLC is located at 25865 W 12 Mile Rd, Southfield, MI 48034. The listed phone number is (248) 353-4010.

What is Gantz Dds PLLC's specialty?

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

Is Gantz Dds PLLC enrolled in Medicare?

Yes. Gantz Dds PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gantz Dds PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Oral Surgery, reassign their Medicare billing to Gantz Dds PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Gantz Dds PLLC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Gantz Dds PLLC 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 Gantz Dds PLLC was last updated on April 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.