DETROIT DENTAL SPA
NPI 1366155202
Clinic/Center - Dental in Detroit, MI

Q: What is Detroit Dental Spa PLLC's NPI number?

The NPI number for Detroit Dental Spa PLLC is 1366155202. It was assigned to this organization in the NPPES registry on January 5, 2023. The provider is doing business as Detroit Dental Spa.

Q: What is Detroit Dental Spa PLLC's specialty?

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

Active since January 05, 2023

2130 TRUMBULL ST, DETROIT, MI 48216(832) 419-7998 Get Directions Write a Review

NPPES record last updated: March 15, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 15, 2023, Jan 5, 2023 (2 updates tracked since 2023).

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About Detroit Dental Spa NPPES

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

DETROIT DENTAL SPA (NPI 1366155202) is a healthcare organization registered as a dental in Detroit, Michigan and active in the NPI registry since January 2023. The organization lists Ban Nacy, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1366155202

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameDETROIT DENTAL SPA PLLC

Location Address2130 TRUMBULL STDetroit, MI 48216-1344

Mailing Address1117 Griswold St Unit 1414Detroit, MI 48226-1936 · (832) 419-7998

Phone(832) 419-7998

Organization SubpartNo

Authorized OfficialBan NacyOwner/dentist · (832) 419-7998

Enumeration DateJanuary 5, 2023

Last NPPES UpdateMarch 15, 20232 updates tracked since enumeration

NPPES CertifiedMarch 15, 2023

✔ NPI 1366155202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

2130 TRUMBULL ST, Detroit, MI 48216

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Other Names 1

Doing Business AsDetroit Dental Spa

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 ›

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 Detroit Dental Spa PLLC's NPI number?

The NPI number for Detroit Dental Spa PLLC is 1366155202. It was assigned to this organization in the NPPES registry on January 5, 2023. The provider is doing business as Detroit Dental Spa.

Where is Detroit Dental Spa PLLC located?

Detroit Dental Spa PLLC is located at 2130 Trumbull St, Detroit, MI 48216. The listed phone number is (832) 419-7998.

What is Detroit Dental Spa PLLC's specialty?

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

What insurance does Detroit Dental Spa PLLC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Detroit Dental Spa 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 Detroit Dental Spa PLLC was last updated on March 15, 2023. 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.