IndividualActive
Peter Polverini, DDS, DMSC
NPI 1699808857 · Oral and Maxillofacial Pathology Dentistry · Ann Arbor, MI
Provider details
- NPI number
- 1699808857
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Credential
- DDS, DMSC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2901016040 (MI)
Specialties & taxonomies
Dental Providers
Dental Providers
Allopathic & Osteopathic Physicians
Practice location
1011 N University Ave
Ann Arbor, MI 48109-1078
Phone: (734) 763-6933
Fax: (734) 763-5142
Approximate (ZIP-level) locationGet directions
Mailing address
5700 Southwyck Blvd
Toledo, OH 43614-1509
Registry dates
- Enumerated
- 2007-03-14
- Last updated
- 2020-01-29
- Certified
- 2020-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.