Provider Demographics
NPI:1821664335
Name:KURT DASHER PLLC
Entity Type:Organization
Organization Name:KURT DASHER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KURT
Authorized Official - Middle Name:
Authorized Official - Last Name:DASHER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:734-854-7280
Mailing Address - Street 1:11587 JENNINGS DR
Mailing Address - Street 2:
Mailing Address - City:PETERSBURG
Mailing Address - State:MI
Mailing Address - Zip Code:49270-9732
Mailing Address - Country:US
Mailing Address - Phone:734-887-8850
Mailing Address - Fax:
Practice Address - Street 1:3157 ANN ARBOR SALINE RD STE D
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-8404
Practice Address - Country:US
Practice Address - Phone:734-887-8850
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-03
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care