1. Home
  2. Directory
  3. Michigan
  4. Novi
  5. Dentist
  6. NPI Profile

PRISTINE DENTAL PLLC
NPI 1083339717
Dentist - General Practice in Novi, MI

Active since October 05, 2022

NPPES record last updated: October 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pristine Dental Pllc NPPES

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

PRISTINE DENTAL PLLC (NPI 1083339717) is a healthcare organization registered as a general practice in Novi, Michigan and active in the NPI registry since October 2022. The organization lists Neha Kuthiala, Dds, as its authorized official.

NPPES Registry Identity

NPI1083339717
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePRISTINE DENTAL PLLC
Location Address30900 BECK RDNovi, MI 48377-1001
Mailing Address2918 Stanton StCanton, MI 48188-8029 · (313) 330-6160
Phone(313) 330-6160
Organization SubpartNo
Authorized OfficialNeha KuthialaDds · (313) 330-6160
Enumeration DateOctober 5, 2022
NPPES CertifiedOctober 4, 2022
✔ NPI 1083339717 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.
30900 BECK RD, Novi, MI 48377
Open in Google Maps ↗

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 Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Other Providers at the Same Location NPPES

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

DR. RANDAL ALAN BOURJAILY DDS
Dentist (General Practice)
30900 BECK RD
NOVI, MI 48377
Oakland County (248) 669-4030

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 Pristine Dental PLLC's NPI number?

The NPI number for Pristine Dental PLLC is 1083339717. It was assigned to this organization in the NPPES registry on October 5, 2022.

Where is Pristine Dental PLLC located?

Pristine Dental PLLC is located at 30900 Beck Rd, Novi, MI 48377. The listed phone number is (313) 330-6160.

What is Pristine Dental PLLC's specialty?

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

What insurance does Pristine Dental PLLC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Pristine Dental 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 Pristine Dental PLLC was last updated on October 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.