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NEW TROY GROUP DENTAL PLLC
NPI 1245036953
Dentist - General Practice in Troy, MI

Active since February 22, 2025
6053 ROCHESTER RD, TROY, MI 48085(248) 558-2785 Get Directions Write a Review

NPPES record last updated: February 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About New Troy Group Dental Pllc NPPES

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

NEW TROY GROUP DENTAL PLLC (NPI 1245036953), doing business as Square Lake Family Dentistry, is a healthcare organization registered as a general practice in Troy, Michigan and active in the NPI registry since February 2025. The organization lists Brandon Sam Khaddor, Dentist/partner, as its authorized official.

NPPES Registry Identity

NPI1245036953
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameNEW TROY GROUP DENTAL PLLC
Location Address6053 ROCHESTER RDTroy, MI 48085-1303
Mailing Address6053 Rochester RdTroy, MI 48085-1303 · (248) 558-2785
Phone(248) 558-2785
Organization SubpartNo
Authorized OfficialBrandon Sam KhaddorDentist/partner · (586) 804-8118
Enumeration DateFebruary 22, 2025
NPPES CertifiedFebruary 22, 2025
✔ NPI 1245036953 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.
6053 ROCHESTER RD, Troy, MI 48085
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Other Names 1

Doing Business AsSquare Lake Family Dentistry

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

Other Providers at the Same Location NPPES 6

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

DR. MANISHA VRAJESH PATEL D.D.S.
Dentist
6053 ROCHESTER RD
TROY, MI 48085
Oakland County (248) 879-5858
PRITIDA T PATEL DDS
Dentist (General Practice)
6053 ROCHESTER RD
TROY, MI 48085
Oakland County (248) 879-5858
SQUARE LAKE FAMILY DENTISTRY
Dentist (General Practice)
6053 ROCHESTER RD
TROY, MI 48085
Oakland County (248) 879-5858
TROY GROUP DENTAL ASSOCIATES PLLC
Dentist (General Practice)
6053 ROCHESTER RD
TROY, MI 48085
Oakland County (248) 749-5858
MIRNA MIKA ARAFAT
Dentist
6053 ROCHESTER RD
TROY, MI 48085
Oakland County (248) 879-5858
HANNADMD.PLLC
Dentist (General Practice)
6053 ROCHESTER RD
TROY, MI 48085
Oakland County (248) 879-5858

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 New Troy Group Dental PLLC's NPI number?

The NPI number for New Troy Group Dental PLLC is 1245036953. It was assigned to this organization in the NPPES registry on February 22, 2025. The provider is doing business as Square Lake Family Dentistry.

Where is New Troy Group Dental PLLC located?

New Troy Group Dental PLLC is located at 6053 Rochester Rd, Troy, MI 48085. The listed phone number is (248) 558-2785.

What is New Troy Group Dental PLLC'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 New Troy Group Dental PLLC was last updated on February 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.