Provider Demographics
NPI:1497887392
Name:ASH, JEFFREY L (DDS MS PLC)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:L
Last Name:ASH
Suffix:
Gender:M
Credentials:DDS MS PLC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2715 PACKARD RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108
Mailing Address - Country:US
Mailing Address - Phone:734-971-0800
Mailing Address - Fax:734-971-3448
Practice Address - Street 1:2715 PACKARD RD
Practice Address - Street 2:SUITE A
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108
Practice Address - Country:US
Practice Address - Phone:734-971-0800
Practice Address - Fax:734-971-3448
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI0120981223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics