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Justin Distelrath
NPI 1881255966 · General Practice Dentistry · Ann Arbor, MI
Justin Distelrath is a General Practice Dentistry provider in Ann Arbor, MI (NPI 1881255966).
Provider details
- NPI number
- 1881255966
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 2901023205 (MI)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1795 W Stadium Blvd
Ann Arbor, MI 48103-5290
Phone: (734) 677-8700
Fax: (734) 839-4137
Street-level locationGet directions
Mailing address
1795 W Stadium Blvd
Ann Arbor, MI 48103-5290
Additional practice locations (1)
- 2365 S Huron PkwyAnn Arbor, MI 48104-5156Phone: (734) 677-8700Fax: (734) 839-4137
Registry dates
- Enumerated
- 2019-06-27
- Last updated
- 2022-09-12
- Certified
- 2022-09-12
Frequently asked questions
- What is Justin Distelrath's NPI number?
- Justin Distelrath's National Provider Identifier (NPI) is 1881255966, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Justin Distelrath's specialty?
- Justin Distelrath is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Justin Distelrath located?
- Justin Distelrath's practice location on file with NPPES is 1795 W Stadium Blvd, Ann Arbor, MI 48103-5290.
- What is Justin Distelrath's phone number?
- The practice phone number listed in the NPPES registry for Justin Distelrath is (734) 677-8700.
- Is Justin Distelrath's NPI active?
- Yes — Justin Distelrath's NPI (1881255966) is active in the NPPES registry as of the last update on 2022-09-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.