PRO DENTAL MI 1 PC
NPI 1063249332
Dentist - General Practice in Pontiac, MI

NPI Status: Active since September 19, 2024

Contact Information

1101 E WALTON BLVD STE 300
PONTIAC, MI
ZIP 48340
Phone: (248) 499-9989
Fax: (248) 481-9896

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  • Organization
  • Dentist
  • General Practice
  • Accepts Insurance

About PRO DENTAL MI 1 PC

This page provides the complete NPI Profile along with additional information for Pro Dental Mi 1 Pc, a provider established in Pontiac, Michigan operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1063249332 assigned on September 2024. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Pro Dental Mi 1 Pc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Simone Wilson-adeleke Mpa-ppa (Director Of Credentialing)

NPI
1063249332
Provider Name
PRO DENTAL MI 1 PC
Entity Type
Organization
Location Address
1101 E WALTON BLVD STE 300 PONTIAC, MI 48340
Location Phone
(248) 499-9989
Location Fax
(248) 481-9896
Mailing Address
10 WOODBRIDGE CENTER DR STE 520 WOODBRIDGE, NJ 07095
Mailing Phone
(732) 731-8398
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-19-2024
Last Update Date
09-19-2024
Code Navigator

A dentist like Pro Dental Mi 1 Pc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Dental EPO 80/50/50 (0/0/0) - EPO
  • Blue Dental PPO 100/50/50 (50/50/50) - PPO
  • Blue Dental PPO 100/70/50 (80/60/50) - PPO
  • Blue Dental PPO 80/50/50 (50/50/50) - PPO
  • Blue Dental PPO Pediatric 80/50/50 (50/50/50) - PPO
  • Blue Dental PPO Plus 80/60/50 - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SIMONE WILSON-ADELEKE MPA-PPA

Authorized Official Title
DIRECTOR OF CREDENTIALING
Authorized Official Phone
(732) 731-8398

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1063249332, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
3
Unchanged
Pos 5
2
Doubled → 4
Pos 6
4
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
3
Unchanged
Pos 9
3
Doubled → 6
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 2 → 4 9 → 18 → 9 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 2 + 3 + 4 + 4 + 1 + 8 + 3 + 6 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1063249332.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063249332, enumerated as an "organization" on September 19, 2024.

The provider is located at 1101 E WALTON BLVD STE 300 PONTIAC, MI 48340 and the phone number is (248) 499-9989.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Blue Cross Blue Shield of Michigan Mutual. Please consult your insurance carrier or call the provider to verify.