Individual ProviderSandra EmbreeDentistDental ProvidersPractice Address2340 E Stadium Blvd, Ste #7, Ann Arbor, MI 48104(734) 973-0000PECOS EnrollmentBased on the most recent information from CMS, provider Sandra Embree is legally eligible to order and refer claims for Part B, HHA and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1417095753Provider TypeIndividualFull NameEmbree, SandraTitleDr.CredentialDDSGenderFemaleSole ProprietorNoEnumeration Date2/1/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address2340 E Stadium Blvd, Ste #7, Ann Arbor, MI 48104Phone(734) 973-0000Fax(734) 973-9650Mailing LocationMailing Address2340 E Stadium Blvd, Ste #7, Ann Arbor, MI 48104Phone(734) 973-0000Fax(734) 973-9650Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicense15028Michigan