ANN ARBOR DENTAL CARE, PLLC
NPI 1972983138
Dentist - Prosthodontics in Ann Arbor, MI

Active since June 03, 2015CLIA Certified · 2 labs
450 S WAGNER RD, ANN ARBOR, MI 48103(734) 668-8420(734) 668-1397 Get Directions Write a Review

NPPES record last updated: June 3, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dentist
  • Prosthodontics
  • CLIA Number: 23D2047454
  • CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
  • CLIA Exp. Date: 09-24-2026

About ANN ARBOR DENTAL CARE, PLLC

This page provides the complete NPI Profile along with additional information for Ann Arbor Dental Care, Pllc, a provider established in Ann Arbor, Michigan operating as a Dentist, focusing in prosthodontics . The healthcare provider is registered in the NPI registry with number 1972983138 assigned on June 2015. The practitioner's primary taxonomy code is 1223P0700X with license number 13315 (MI). The provider is registered as an organization and their NPI record was last updated 11 years ago. Ann Arbor Dental Care, Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Kevin M Sloan D.d.s., M.s. (Owner/practitioner)

NPI
1972983138 Verify this NPI
Provider Name
ANN ARBOR DENTAL CARE, PLLC
Entity Type
Organization
Location Address
450 S WAGNER RD ANN ARBOR, MI 48103
Location Phone
(734) 668-8420
Location Fax
(734) 668-1397
Mailing Address
450 S WAGNER RD ANN ARBOR, MI 48103
Mailing Phone
(734) 668-8420
Mailing Fax
(734) 668-1397
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-03-2015
Last Update Date
06-03-2015
Code Navigator

A dentist like Ann Arbor Dental Care, Pllc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Prosthodontics

Taxonomy Code
1223P0700X
Type
Dental Providers
License No.
13315
License State
MI
Taxonomy Description
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11223G0001XDental Providers

Dentist
General Practice

20001 (MI)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. KEVIN M SLOAN D.D.S., M.S.

Authorized Official Title
OWNER/PRACTITIONER
Authorized Official Phone
(734) 668-8420

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
23D2047454
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
September 25, 2024
Certificate Expiration Date
September 24, 2026
Laboratory Director
ERIC DANCEY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Ann Arbor Dental Care, Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist
450 S WAGNER RD
ANN ARBOR, MI 48103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972983138, enumerated as an "organization" on June 03, 2015.

The provider is located at 450 S WAGNER RD ANN ARBOR, MI 48103 and the phone number is (734) 668-8420.

Dentist with taxonomy code 1223P0700X and a focus in Prosthodontics.