Organization · Type 2 NPI

Detroit Dental RX PLLC

Non-Pharmacy Dispensing Site · Detroit, MI

NPI number 1053254193 Active

Practice location

15510 Livernois Ave
Detroit, MI 48238-1343

Call (313) 217-0014 Map

Fax (313) 246-1886

Mailing address

27201 Ryan Rd
Warren, MI 48092-5127

Specialties and licenses

TaxonomyCodeLicense
Non-Pharmacy Dispensing Site Primary 332900000XNone listed

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

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About NPI 1053254193

Detroit Dental RX PLLC's National Provider Identifier is 1053254193, issued on Apr 13, 2026. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Detroit, MI. The record was last updated on Apr 13, 2026.