Individual provider · NPI-1
Dr. Brent Thomas Accurso, DDS, MPH
Dentist, Oral and Maxillofacial Pathology · Ann Arbor, MI
NPI number1174653158
StatusActive
Last updated in NPPESSep 30, 2026
Details
- NPI
- 1174653158
- Entity type
- Individual (NPI-1)
- Name
- Dr. Brent Thomas Accurso
- Credential
- DDS, MPH
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 7, 2007
- Certification date
- Sep 30, 2026
- Last updated
- Sep 30, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0106X | Dentist, Oral and Maxillofacial Pathology | 2901019383 | MI | Yes |
Practice location
3131 S State St Ste 307Ann Arbor, MI 48108-1658
Phone 503-906-7300
Mailing address
9750 Sw Nimbus AveBeaverton, OR 97008-7172
Phone 503-906-7300
Other practice locations
9750 Sw Nimbus Ave
Beaverton, OR 97008-7172
Beaverton, OR 97008-7172
Phone 503-906-7300
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