Organization · Type 2 NPI
South Lyon Pediatric Dentistry PLLC
Pediatric Dentistry · South Lyon, MI
NPI number
1912814765
Active
Practice location
26808 Pontiac Trail
South Lyon, MI 48178
Mailing address
51019 Silverton
Canton, MI 48187-7719
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | None listed |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
About NPI 1912814765
South Lyon Pediatric Dentistry PLLC's National Provider Identifier is 1912814765, issued on Aug 26, 2026. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in South Lyon, MI. The record was last updated on Aug 26, 2026.