Kermit William Stanton | Ann Arbor, MI • PECOS Search

Kermit William Stanton

Dentist

Dental Providers

2228 Packard Rd, Ann Arbor, MI 48104

PECOS Enrollment

Based on the most recent information from CMS, provider Kermit William Stanton does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1043300296
Provider Type
Individual
Full Name
Stanton, Kermit William
Title
Mr.
Credential
DDS

Gender
Male
Sole Proprietor
No
Enumeration Date
10/16/2006
Last Updated
7/8/2007

Contact Information

Practice Location

2228 Packard Rd, Ann Arbor, MI 48104

Unlisted Fax

Mailing Location

2228 Packard Rd, Ann Arbor, MI 48104

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1223G0001X Primary	Description Dentist Dental Providers	License 15091 Michigan