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DR. ETHAN THOMAS KOLDERMAN DDS
NPI 1861054694
Dentist in Ann Arbor, MI

Active since July 02, 2019
2365 S HURON PKWY, ANN ARBOR, MI 48104(734) 677-8700(734) 839-4137 Get Directions Write a Review

NPPES record last updated: October 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 7, 2022, Jul 2, 2019 (2 updates tracked since 2019).

About Dr. Ethan Thomas Kolderman Dds NPPES

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

DR. ETHAN THOMAS KOLDERMAN DDS (NPI 1861054694) is an individual dentist in Ann Arbor, Michigan, licensed in Michigan (2901023223) and active in the NPI registry since July 2019. He maintains a secondary practice location in Grand Haven.

NPPES Registry Identity

NPI1861054694
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. ETHAN THOMAS KOLDERMANCredential: DDS
Location Address2365 S HURON PKWYAnn Arbor, MI 48104-5156
Mailing Address2365 S Huron PkwyAnn Arbor, MI 48104-5156 · (734) 677-8700 · Fax (734) 839-4137
Phone(734) 677-8700
Fax(734) 839-4137
Sole ProprietorNo
Enumeration DateJuly 2, 2019
Last NPPES UpdateOctober 7, 20222 updates tracked since enumeration
NPPES CertifiedOctober 7, 2022
✔ NPI 1861054694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MI · 2901023223
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.
2365 S HURON PKWY, Ann Arbor, MI 48104
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Secondary Practice Location 1

Location 117064 Robbins RdGrand Haven, MI 49417-2741 · Phone (616) 847-0900

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 8

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

ALEXANDER THOMAS MARLOW DMD
Dentist (General Practice)
2365 S HURON PKWY
ANN ARBOR, MI 48104
Washtenaw County (734) 677-8700
MRS. SHARON KAY ALLEN LMSW
Social Worker (Clinical)
2365 S HURON PKWY, SUITE A
ANN ARBOR, MI 48104
Washtenaw County (734) 913-9548
EMILY SUSAN MARLOW DDS
Dentist
2365 S HURON PKWY
ANN ARBOR, MI 48104
Washtenaw County (734) 677-8700
KENNEDY MARZONIE GRAY & ASSOCIATES PLLC
Dentist
2365 S HURON PKWY
ANN ARBOR, MI 48104
Washtenaw County (734) 677-8700
SAHIL MANHAS DDS
Dentist
2365 S HURON PKWY
ANN ARBOR, MI 48104
Washtenaw County (734) 677-8700
JAIME REICHLMAYR
Dentist
2365 S HURON PKWY
ANN ARBOR, MI 48104
Washtenaw County (734) 677-8700
DANIEL JACOB KENNEDY DDS
Dentist
2365 S HURON PKWY
ANN ARBOR, MI 48104
Washtenaw County (734) 677-8700
APNEA ALTERNATIVES
Dentist
2365 S HURON PKWY
ANN ARBOR, MI 48104
Washtenaw County (734) 677-8700

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 Ethan Kolderman's NPI number?

The NPI number for Ethan Kolderman is 1861054694. It was assigned to this individual provider in the NPPES registry on July 2, 2019.

Where is Ethan Kolderman located?

Ethan Kolderman practices at 2365 S Huron Pkwy, Ann Arbor, MI 48104. The listed phone number is (734) 677-8700.

What is Ethan Kolderman's specialty?

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

What insurance does Ethan Kolderman accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, BEST Life and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 12 other insurers list Ethan Kolderman 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 Ethan Kolderman was last updated on October 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.