OrganizationShannon Norman-Kotre, Dds, PllcDentistDental ProvidersPractice Address2240 S Huron Pkwy, Ann Arbor, MI 48104-5151(734) 677-2156PECOS EnrollmentBased on the most recent information from CMS, provider Shannon Norman-Kotre, Dds, Pllc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1598939910Provider TypeOrganizationFull NameShannon Norman-Kotre, Dds, PllcSubpartNoEnumeration Date4/16/2008Last Updated4/16/2008Contact InformationPractice LocationPractice Address2240 S Huron Pkwy, Ann Arbor, MI 48104-5151Phone(734) 677-2156Fax(734) 677-2638Mailing LocationMailing Address2240 S Huron Pkwy, Ann Arbor, MI 48104-5151Phone(734) 677-2156Fax(734) 677-2638Authorized OfficialNameEbejer, Sherry (Office Manager)Phone(734) 677-2156Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicense17629Michigan