Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1861054694 Individual Practitioner Male Practitioner

Dr. Ethan Thomas Kolderman , DDS

Dentist • Ann Arbor, MI

Professional Overview & Biography Verified Profile Summary

Dr. Ethan Kolderman, DDS is a registered healthcare professional specializing in Dentist in Ann Arbor, MI. Practice services are available at 2365 S HURON PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2365 S Huron Pkwy

Ann Arbor, MI 481045156

Telephone 7346778700
Fax 7348394137
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Ann Arbor, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.0 Yrs
State Avg: 17.7 Yrs
Regional Practice Density
271 Specialists

Practicing in Ann Arbor, MI (3647 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-10-07
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MI 2901023223

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Secondary Practice Locations

17064 Robbins Rd

Grand Haven, MI 494172741

Phone: 6168470900

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Dr. Alexander Marlow , DMD

Dentist - General Practice

NPI 1003254285

Doctor of Dental Medicine

NPI 1083051288

Doctor of Dental Surgery

NPI 1205916939

Doctor of Dental Surgery

Dr. Daniela Garcia , DDS

Dentist - General Practice

NPI 1336495191

Doctor of Dental Surgery

NPI 1487873972

Doctor of Dental Surgery

NPI 1518588847

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location October 07, 2022

Registered at 2365 S HURON PKWY, ANN ARBOR, MI 481045156 (Tel: 7346778700)

📍
Updated Business Mailing Address October 07, 2022

Registered at 2365 S HURON PKWY, ANN ARBOR, MI 481045156 (Tel: 7346778700)

NPI Profile Active July 02, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location July 02, 2019

Registered at 17064 ROBBINS RD, GRAND HAVEN, MI 494172741 (Tel: 6168470900)

📍
Updated Business Mailing Address July 02, 2019

Registered at 17064 ROBBINS RD, GRAND HAVEN, MI 494172741

👤
Provider Name / Credentials Updated July 02, 2019

Recorded as ETHAN KOLDERMAN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2019

Dentist (License #2901023223 in MI)

🟢
Initial NPI Registration & Enumeration July 02, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1861054694
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 02, 2019
Last Update: October 07, 2022
Sole Proprietor: No

Mailing Address

2365 S Huron Pkwy

Ann Arbor, MI 481045156

Phone: 7346778700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.