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DERMATOLOGY SPECIALISTS OF CANTON, PLLC
NPI 1003069014
Dermatology in Canton, MI

Active since November 04, 2008CLIA Certified · 3 labs
285 N LILLEY RD, CANTON, MI 48187(734) 495-1506(734) 495-1780 Get Directions Write a Review

NPPES record last updated: March 15, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dermatology Specialists Of Canton, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERMATOLOGY SPECIALISTS OF CANTON, PLLC (NPI 1003069014) is a healthcare organization registered as a dermatology in Canton, Michigan and active in the NPI registry since November 2008. The organization holds 3 active CLIA laboratory certificates and lists Iltefat H. Hamzavi, President, as its authorized official.

NPPES Registry Identity

NPI1003069014
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMATOLOGY SPECIALISTS OF CANTON, PLLC
Location Address285 N LILLEY RDCanton, MI 48187-3907
Mailing Address43151 Dalcoma Drive, Suite 6Clinton Township, MI 48038 · (586) 286-8720 · Fax (866) 790-6803
Phone(734) 495-1506
Fax(734) 495-1780
Organization SubpartNo
Authorized OfficialIltefat H. HamzaviPresident · (734) 495-1506
Enumeration DateNovember 4, 2008
Last NPPES UpdateMarch 15, 2011
✔ NPI 1003069014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in MI · 4301067985
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
285 N LILLEY RD, Canton, MI 48187
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Other Identifiers 2

Medicare PINMI1519MI
OtherDO8072MI · Railroad Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 23D2077428

Dermatology Specialists Of Canton · Canton, MI
Active · expires Dec 11, 2026
CLIA Number23D2077428
Laboratory TypePhysician Office
Certificate Effective DateDecember 12, 2024
Certificate Expiration DateDecember 11, 2026
Laboratory DirectorMatteo C. Lopiccolo
Laboratory Phone(734) 495-1506
Laboratory LocationDermatology Specialists Of Canton361 N Canton Center Rd, Canton, MI 48187
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 23D2317197

Dermatology Specialists Of Dexter · Dexter, MI
Active · expires Feb 2, 2028
CLIA Number23D2317197
Laboratory TypePhysician Office
Certificate Effective DateFebruary 3, 2026
Certificate Expiration DateFebruary 2, 2028
Laboratory DirectorJennifer Vermeesch
Laboratory Phone(586) 286-8720
Laboratory LocationDermatology Specialists Of Dexter7200 Dan Hoey Road Suite A, Dexter, MI 48130
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 23D2066045

Dermatology Specialists Of Ann Arbor · Ann Arbor, MI
Active · expires Sep 18, 2027
CLIA Number23D2066045
Laboratory TypePhysician Office
Certificate Effective DateSeptember 19, 2025
Certificate Expiration DateSeptember 18, 2027
Laboratory DirectorEthan A. Sagher
Laboratory Phone(586) 286-8720
Laboratory LocationDermatology Specialists Of Ann Arbor4200 Whitehall Drive Suite 250, Ann Arbor, MI 48105
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THOMAS POWELL WALDINGER M.D.
Dermatology
285 N LILLEY RD
CANTON, MI 48187
Wayne County (734) 495-1506
KIMBERLY SIMONS PA
Dermatology
285 N LILLEY RD
CANTON, MI 48187
Wayne County (734) 495-1506
MRS. SARA ELIZABETH HAYES PA-C
Dermatology
285 N LILLEY RD
CANTON, MI 48187
Wayne County (734) 495-1506
ANDREA ELIZABETH SCHRIEBER MD
Dermatology
285 N LILLEY RD, DERMATOLOGY SPECIALISTS OF CANTON
CANTON, MI 48187
Wayne County (734) 495-1506
DR. ILTEFAT H HAMZAVI MD
Dermatology (Procedural Dermatology)
285 N LILLEY RD
CANTON, MI 48187
Wayne County (734) 495-1506
MRS. MARSHA D HENDERSON MD
Dermatology
285 N LILLEY RD
CANTON, MI 48187
Wayne County (734) 495-1506
CHELSEA LUTHER M.D.
Dermatology
285 N LILLEY RD
CANTON, MI 48187
Wayne County (734) 495-1506

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dermatology Specialists Of Canton, PLLC's NPI number?

The NPI number for Dermatology Specialists Of Canton, PLLC is 1003069014. It was assigned to this organization in the NPPES registry on November 4, 2008.

Where is Dermatology Specialists Of Canton, PLLC located?

Dermatology Specialists Of Canton, PLLC is located at 285 N Lilley Rd, Canton, MI 48187. The listed phone number is (734) 495-1506.

What is Dermatology Specialists Of Canton, PLLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Dermatology Specialists Of Canton, PLLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Dermatology Specialists Of Canton, PLLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Dermatology Specialists Of Canton, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dermatology Specialists Of Canton, PLLC was last updated on March 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.