OrganizationEmbree DentistryDentistDental ProvidersPractice Address2340 E Stadium Blvd, Suite 7, Ann Arbor, MI 48104-4823(734) 973-0000PECOS EnrollmentBased on the most recent information from CMS, provider Embree Dentistry 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 6 days ago.Profile DetailsProvider ID1760888036Provider TypeOrganizationFull NameEmbree DentistrySubpartNoEnumeration Date11/13/2014Last Updated11/13/2014Contact InformationPractice LocationPractice Address2340 E Stadium Blvd, Suite 7, Ann Arbor, MI 48104-4823Phone(734) 973-0000FaxUnlisted FaxMailing LocationMailing Address2340 E Stadium Blvd, Suite 7, Ann Arbor, MI 48104-4823Phone(734) 973-0000FaxUnlisted FaxAuthorized OfficialNameCoffman, Jill (Office Manager)Phone(734) 973-0000Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicense15028Michigan