NPPES file of Aug 9, 2026

Peter J. Polverini, DDS, DMSC

Oral and Maxillofacial Pathology Dentistry · Ann Arbor, MI

Peter J. Polverini, DDS, DMSC is an oral and maxillofacial pathology dentistry with a practice address in Ann Arbor, Michigan, and NPI 1699808857, issued on Mar 14, 2007. Check the license (Michigan 2901016040, as entered in NPPES) with the Michigan board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1699808857
Name
Peter J. Polverini
Credential
DDS, DMSC
Primary taxonomy
Oral and Maxillofacial Pathology Dentistry 1223P0106X
License number
2901016040 MI
Self-reported in NPPES; status is on the state search
Practice location
1011 N University Ave, Ann Arbor, MI 48109
Phone
(734) 763-6933
Enumerated
Mar 14, 2007
Record last updated
Jan 29, 2020 (not updated in 6 years: call before relying on the address or phone)
Fax
(734) 763-5142
Medicaid IDs
4504373 MI
4070694 MI
2667583 OH
4874042 MI
Medicare enrollment
Enrolled (PECOS I20041105001051); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1011 N University Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Hasan Al Yousuf, DDSDentist1568034395
  2. Ranya Al-Hadidi, DDSGeneral Practice Dentistry1619485042
  3. Areej Al-Hawarini, DDSGeneral Practice Dentistry1184058679
  4. Mohammed Al-Mazedi, DDSGeneral Practice Dentistry1912260845
  5. Aron Aliaga Del CastilloOrthodontics and Dentofacial Orthopedics Dentistry1508590035
  6. Manar Aljateeli, DDSGeneral Practice Dentistry1801167226

Verify Peter J. Polverini in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Michigan board licenses this profession
    Search for license 2901016040
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Michigan license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Regents OF The University OF Michigan Oral PathologyAnn Arbor, MI

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Peter J. Polverini among 17 oral and maxillofacial pathology dentistry records in Michigan

Peter J. Polverini, DDS, DMSC is one of 17 oral and maxillofacial pathology dentistry records with a practice address in Michigan. 59% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 24% of them.

  • NPI issued2007 · 24% of these records are older, 41% newer
  • In a Medicare fileYes · 59% of these records are
  • In the CMS Doctors and Clinicians fileYes · 41% of these records are
  • Record last updated2020 · 59% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1223P0106X and a Michigan practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Oral and Maxillofacial Pathology Dentistry providers in Michigan

There are 17 oral and maxillofacial pathology dentistry records in Michigan.

The 8 oral and maxillofacial pathology dentistry records with the nearest ZIP codes

  1. Nisha D'Silva, DDSAnn Arbor, MI 481091578687315
  2. Theodora Danciu, DMD, DMSCAnn Arbor, MI 481091184861080
  3. Chia-Cheng Li, D.D.S., D.M.SC.Ann Arbor, MI 481091588900518
  4. Felipe Nor, DDS, MS, PHDAnn Arbor, MI 481091083385629
  5. Brent Accurso, DDS, MPHAnn Arbor, MI 481081174653158
  6. Brent Martin, DMD, MSAnn Arbor, MI 481081538336615
  7. William Baxter, DDS, MSAnn Arbor, MI 481041639296973
  8. Fredric Bonine, DDS, MS, PCBrighton, MI 481141063440543

Common questions

What is Peter J. Polverini, DDS, DMSC's NPI number?

Peter J. Polverini, DDS, DMSC's National Provider Identifier (NPI) is 1699808857, issued on Mar 14, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Peter J. Polverini, DDS, DMSC located?

The NPPES record lists a practice address at 1011 N University Ave, Ann Arbor, MI, 48109. Phone: (734) 763-6933. Providers update this record themselves, so call before visiting.

How can I verify Peter J. Polverini, DDS, DMSC's license?

NPPES lists Michigan license number 2901016040, as entered by the provider. Search the Michigan board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.