Provider Demographics
NPI:1114018009
Name:KAPLAN, MITCHELL D (DDS)
Entity Type:Individual
Prefix:DR
First Name:MITCHELL
Middle Name:D
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 PLATT RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-5149
Mailing Address - Country:US
Mailing Address - Phone:734-975-2810
Mailing Address - Fax:734-975-2880
Practice Address - Street 1:2301 PLATT RD
Practice Address - Street 2:SUITE 100
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-5149
Practice Address - Country:US
Practice Address - Phone:734-975-2810
Practice Address - Fax:734-975-2880
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010153291223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics