Provider Demographics
NPI:1437503463
Name:TRAVAN, SUNCICA (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:SUNCICA
Middle Name:
Last Name:TRAVAN
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:DR
Other - First Name:SUNI
Other - Middle Name:
Other - Last Name:TRAVAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS MS
Mailing Address - Street 1:1011 N UNIVERSITY AVE
Mailing Address - Street 2:ROOM 2171- COMMONS
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48109-1078
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1011 N UNIVERSITY AVE
Practice Address - Street 2:RM 3323B
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48109-1078
Practice Address - Country:US
Practice Address - Phone:734-764-2070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-15
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2952000393122300000X, 1223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics
No122300000XDental ProvidersDentist