Provider Demographics
NPI:1780855254
Name:ARBOR DENTAL, PC
Entity Type:Organization
Organization Name:ARBOR DENTAL, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:AMIN
Authorized Official - Last Name:JAFFER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:734-975-0500
Mailing Address - Street 1:2301 PLATT RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-5155
Mailing Address - Country:US
Mailing Address - Phone:734-975-0500
Mailing Address - Fax:
Practice Address - Street 1:2301 PLATT RD
Practice Address - Street 2:SUITE 200
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-5155
Practice Address - Country:US
Practice Address - Phone:734-975-0500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-12
Last Update Date:2011-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty