Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PEDO ORTHO OF MICHIGAN PLLC
NPI 1144973371
Dentist in Southfield, MI

Q: What is Pedo Ortho Of Michigan PLLC's NPI number?

The NPI number for Pedo Ortho Of Michigan PLLC is 1144973371. It was assigned to this organization in the NPPES registry on January 28, 2022.

Q: What is Pedo Ortho Of Michigan PLLC's specialty?

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

Active since January 28, 2022

18860 W 10 MILE RD, SOUTHFIELD, MI 48075(248) 965-4722 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2026, Jan 28, 2022 (2 updates tracked since 2022).

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About Pedo Ortho Of Michigan Pllc NPPES

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

PEDO ORTHO OF MICHIGAN PLLC (NPI 1144973371) is a healthcare organization registered as a dentist in Southfield, Michigan and active in the NPI registry since January 2022. The organization lists Victoria Johnson, Cro, as its authorized official.

NPPES Registry Identity

NPI1144973371

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NamePEDO ORTHO OF MICHIGAN PLLC

Location Address18860 W 10 MILE RDSouthfield, MI 48075-2666

Mailing Address18860 W 10 Mile RdSouthfield, MI 48075-2666

Phone(248) 965-4722

Organization SubpartNo

Authorized OfficialVictoria JohnsonCro · (941) 444-0558

Enumeration DateJanuary 28, 2022

Last NPPES UpdateJuly 21, 20262 updates tracked since enumeration

NPPES CertifiedJuly 21, 2026

✔ NPI 1144973371 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.

18860 W 10 MILE RD, Southfield, MI 48075

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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 7

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

SALAH ALDIN RAJAB

Dentist (Prosthodontics)