Provider Demographics
NPI:1962890251
Name:DONALDSON AND GUENTHER DDS, PLC
Entity type:Organization
Organization Name:DONALDSON AND GUENTHER DDS, PLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANNABEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHROT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-971-3450
Mailing Address - Street 1:3100 E EISENHOWER PKWY
Mailing Address - Street 2:STE 300
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-5205
Mailing Address - Country:US
Mailing Address - Phone:734-971-3450
Mailing Address - Fax:
Practice Address - Street 1:3100 E. EISENHOWER PKWY
Practice Address - Street 2:STE 300
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108
Practice Address - Country:US
Practice Address - Phone:734-971-3450
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-08
Last Update Date:2015-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI124761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty