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

Justin Distelrath

Individual provider General Practice Dentistry · NPI 1881255966

Justin Distelrath is a General Practice Dentistry in Ann Arbor, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2019

Practice location Address checks out

1795 W Stadium Blvd
Ann Arbor, MI 48103-5290
Phone: (734) 677-8700
Fax: (734) 839-4137
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2365 S Huron Pkwy, Ann Arbor, MI 48104-5156 — (734) 677-8700

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2901023205 (MI)

Record details

NPI number1881255966
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 27, 2019
Last updated in NPPESSeptember 12, 2022
Certification dateSeptember 12, 2022

Other providers in Ann Arbor