Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Willow River Dental PLLC

Organization Clinic/Center · NPI 1316714728

Willow River Dental PLLC is a Clinic/Center in Ann Arbor, Michigan. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

625 E Liberty St Ste 202
Ann Arbor, MI 48104-2013
Phone: (734) 668-6612
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1316714728
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Katherine Latendresse — Owner · (906) 201-0852
NPI enumeratedDecember 6, 2023
Last updated in NPPESDecember 6, 2023
Certification dateDecember 6, 2023
Mailing address625 E Liberty St Ste 202, Ann Arbor, MI 48104-2013

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