Organization · Type 2 NPI

Dentist

Dentist · Livonia, MI

NPI number 1891628848 Active

Practice location

36000 Five Mile Rd
Livonia, MI 48154-1918

Fax (313) 797-1077

Mailing address

6452 Jonathon St
Dearborn, MI 48126-2230

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XNone listed

Dentist: 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 requiremen…

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About NPI 1891628848

Dentist's National Provider Identifier is 1891628848, issued on Jun 8, 2026. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Livonia, MI. The record was last updated on Jun 8, 2026.