IndividualActive
Anthony Fasi, DDS, MD
NPI 1659690204 · Oral and Maxillofacial Surgery (Dentist) · Ann Arbor, MI
Provider details
- NPI number
- 1659690204
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS, MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2901020181 (MI)
Specialties & taxonomies
Dental Providers
Student, Health Care
Practice location
2058 South State Street
Suite 100
Ann Arbor, MI 48104
Phone: (734) 769-5302
Approximate (ZIP-level) locationGet directions
Mailing address
2058 South State Street
Ann Arbor, MI 48104
Registry dates
- Enumerated
- 2010-05-21
- Last updated
- 2016-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.