SUPER DENTAL, PC
NPI 1043460330
Dentist in Detroit, MI

Q: What is Super Dental, PC's NPI number?

The NPI number for Super Dental, PC is 1043460330. It was assigned to this organization in the NPPES registry on September 24, 2008.

Q: What is Super Dental, PC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Super Dental, PC was last updated on September 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since September 24, 2008

15510 LIVERNOIS AVE, DETROIT, MI 48238(313) 863-2800 Get Directions Write a Review

NPPES record last updated: September 24, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Super Dental, Pc NPPES

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

SUPER DENTAL, PC (NPI 1043460330) is a healthcare organization registered as a dentist in Detroit, Michigan and active in the NPI registry since September 2008. The organization lists Sandra A Loredo, Director, as its authorized official.

NPPES Registry Identity

NPI1043460330

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameSUPER DENTAL, PC

Location Address15510 LIVERNOIS AVEDetroit, MI 48238-1343

Mailing AddressPo Box 38367Detroit, MI 48238 · (313) 863-2800

Phone(313) 863-2800

Organization SubpartNo

Authorized OfficialSandra A LoredoDirector · (313) 863-2800

Enumeration DateSeptember 24, 2008

✔ NPI 1043460330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Definition

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 requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

15510 LIVERNOIS AVE, Detroit, MI 48238

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

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