DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOUTHFIELD DENTAL PLLC

Active Organization

SOUTHFIELD DENTAL PLLC is a Dentist organization located in SOUTHFIELD, Michigan. NPI 1104067644 is currently active in the NPPES registry. Verify at CMS.

Dentist · SOUTHFIELD, MI

Registration Details

NPI Number
1104067644
Provider Type
Organization
NPI Issued
Mar 12, 2009 (17.414038422002 yrs)
Last Updated
Mar 12, 2009
License
2901014077 (MI)

Practice Information

Address
17600 W 12 MILE RD
SUITE 3
SOUTHFIELD, MI, 480761910
Browse MI providers · Browse ZIP 48076
Phone
2485696722
Fax
2485697409
Primary Specialty
Dentist
122300000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.