Provider Demographics
NPI:1568553980
Name:DR. GEORGE ASH, D.D.S., M.S., P.C.
Entity Type:Organization
Organization Name:DR. GEORGE ASH, D.D.S., M.S., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:M
Authorized Official - Last Name:ASH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:734-717-8101
Mailing Address - Street 1:5770 WARREN RD
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-9425
Mailing Address - Country:US
Mailing Address - Phone:734-747-8101
Mailing Address - Fax:734-747-8101
Practice Address - Street 1:5770 WARREN RD
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-9425
Practice Address - Country:US
Practice Address - Phone:734-747-8101
Practice Address - Fax:734-747-8101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty