Look up the most recent NPI and PECOS records

Thomas D Pullen Dds Pc

Dentist

Dental Providers

1211 Brooklyn Ave, Ann Arbor, MI 48104-4310

PECOS Enrollment

Based on the most recent information from CMS, provider Thomas D Pullen Dds Pc 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
1558336529
Provider Type
Organization
Full Name
Thomas D Pullen Dds Pc

Subpart
No
Enumeration Date
2/22/2006
Last Updated
8/22/2020

Contact Information

Practice Location

1211 Brooklyn Ave, Ann Arbor, MI 48104-4310

(734) 761-2629

(734) 761-3938

Mailing Location

1211 Brooklyn Ave, Ann Arbor, MI 48104-4310

(734) 761-2629

(734) 761-3938

Authorized Official

Pullen, Kyle T (Authorized Official)

(734) 761-2629

Provider Taxonomies

Code	Description	License
Code 1223G0001X Primary	Description Dentist Dental Providers	License 2901017202 Michigan

Thomas D Pullen Dds Pc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Sciancalepore, Samantha

Walcott, Wayne Eugene

Moeller, P.C.

Henke, Natalie Elizabeth

Trullard, Tammy Marie

Becker, Leah Reva

Regina M. Dailey, Dmd

Valentine, Anthony Edward

Arbor Dental, Pc

Hanselman, Mark Richard