SOUTHGATE FAMILY DENTAL
NPI 1124646781
Clinic/Center - Dental in Southgate, MI

Active since July 10, 2020
15185 ALLEN RD, SOUTHGATE, MI 48195(734) 324-2000(734) 324-2092 Get Directions Write a Review

NPPES record last updated: July 13, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2020, Jul 10, 2020 (2 updates tracked since 2020).

About Southgate Family Dental NPPES

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

SOUTHGATE FAMILY DENTAL (NPI 1124646781) is a healthcare organization registered as a dental in Southgate, Michigan and active in the NPI registry since July 2020. The organization lists Lisa Chamberlain, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1124646781
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSOUTHGATE FAMILY DENTAL
Location Address15185 ALLEN RDSouthgate, MI 48195-2921
Mailing Address15185 Allen RdSouthgate, MI 48195-2921 · (734) 324-2000 · Fax (734) 324-2092
Fax(734) 324-2092
Organization SubpartNo
Authorized OfficialLisa ChamberlainOffice Manager · (734) 324-2000
Enumeration DateJuly 10, 2020
Last NPPES UpdateJuly 13, 20202 updates tracked since enumeration
NPPES CertifiedJuly 13, 2020
NPI 1124646781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
15185 ALLEN RD, Southgate, MI 48195

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
15185 ALLEN RD
SOUTHGATE, MI 48195
Nurse Practitioner (Obstetrics & Gynecology)
15185 ALLEN RD
SOUTHGATE, MI 48195

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 Southgate Family Dental's NPI number?

The NPI number for Southgate Family Dental is 1124646781. It was assigned to this organization in the NPPES registry on July 10, 2020.

Where is Southgate Family Dental located?

Southgate Family Dental is located at 15185 Allen Rd, Southgate, MI 48195. The listed phone number is (734) 324-2000.

What is Southgate Family Dental's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Southgate Family Dental was last updated on July 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.