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REDWOOD DENTAL GROUP
NPI 1164893392
Dentist - General Practice in Canton, MI

Active since October 14, 2015
6511 N CANTON CENTER RD, CANTON, MI 48187(248) 577-5188 Get Directions Write a Review

NPPES record last updated: October 14, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Redwood Dental Group NPPES

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

REDWOOD DENTAL GROUP (NPI 1164893392) is a healthcare organization registered as a general practice in Canton, Michigan and active in the NPI registry since October 2015. The organization lists Mark A Bouchillon, President, as its authorized official.

NPPES Registry Identity

NPI1164893392
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameREDWOOD DENTAL GROUP
Location Address6511 N CANTON CENTER RDCanton, MI 48187-1653
Mailing Address255 W 13 Mile Rd, Suite #100Madison Heights, MI 48071-1868 · (734) 722-5130 · Fax (734) 722-5192
Phone(248) 577-5188
Organization SubpartNo
Authorized OfficialMark A BouchillonPresident · 15869792800
Enumeration DateOctober 14, 2015
✔ NPI 1164893392 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.
6511 N CANTON CENTER RD, Canton, MI 48187
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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

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 Redwood Dental Group's NPI number?

The NPI number for Redwood Dental Group is 1164893392. It was assigned to this organization in the NPPES registry on October 14, 2015.

Where is Redwood Dental Group located?

Redwood Dental Group is located at 6511 N Canton Center Rd, Canton, MI 48187. The listed phone number is (248) 577-5188.

What is Redwood Dental Group's specialty?

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

When was this NPI record last updated?

The NPPES record for Redwood Dental Group was last updated on October 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.