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NORTHEAST DENTAL GROUP
NPI 1023195922
Dentist - General Practice in Southfield, MI

Active since November 01, 2006
21500 NORTHWESTERN HWY, SUITE 640, SOUTHFIELD, MI 48075(248) 552-0166 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northeast Dental Group NPPES

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

NORTHEAST DENTAL GROUP (NPI 1023195922) is a healthcare organization registered as a general practice in Southfield, Michigan and active in the NPI registry since November 2006. The organization lists Debra Grace, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1023195922
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameNORTHEAST DENTAL GROUP
Location Address21500 NORTHWESTERN HWY, SUITE 640Southfield, MI 48075-5018
Mailing Address21500 Northwestern Hwy, Suite 640Southfield, MI 48075-5018 · (248) 552-0166
Phone(248) 552-0166
Organization SubpartNo
Authorized OfficialDebra GraceOffice Manager · (248) 552-0166
Enumeration DateNovember 1, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1023195922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
21500 NORTHWESTERN HWY, Southfield, MI 48075
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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

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. YOUNG AH CHAI DDS, MS
Dentist
21500 NORTHWESTERN HWY
SOUTHFIELD, MI 48075
Oakland County (248) 552-0166
PEARLE VISION INC
Optometrist
21500 NORTHWESTERN HWY, SP D17C
SOUTHFIELD, MI 48075
Oakland County (248) 559-3737
ERIC S MENDELSOHN DPM PC
Podiatrist
21500 NORTHWESTERN HWY, NORTHLAND CENTER, SUITE 636
SOUTHFIELD, MI 48075
Oakland County (248) 569-1395
MR. ZUBAIR KHAN WAZIR P.T.
Physical Therapist
21500 NORTHWESTERN HWY, SUITE 825
SOUTHFIELD, MI 48075
Oakland County (248) 483-7980
ROBERT GOODMAN DMD
Dentist (General Practice)
21500 NORTHWESTERN HWY, SUITE 640
SOUTHFIELD, MI 48075
Oakland County (248) 552-0166
BENJAMIN H STEIN OD INC
Optometrist
21500 NORTHWESTERN HWY, SUITE #635
SOUTHFIELD, MI 48075
Oakland County (248) 569-2025
TARGET CORPORATION
Pharmacy (Community/Retail Pharmacy)
21500 NORTHWESTERN HWY
SOUTHFIELD, MI 48075
Oakland County (248) 423-4202

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 Northeast Dental Group's NPI number?

The NPI number for Northeast Dental Group is 1023195922. It was assigned to this organization in the NPPES registry on November 1, 2006.

Where is Northeast Dental Group located?

Northeast Dental Group is located at 21500 Northwestern Hwy Suite 640, Southfield, MI 48075. The listed phone number is (248) 552-0166.

What is Northeast Dental Group's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Northeast Dental Group was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.