OFFICE 5 PLLC
NPI 1407450877
Dentist - Dental Public Health in South Lyon, MI

Active since November 25, 2020
201 S LAFAYETTE ST, SOUTH LYON, MI 48178(248) 437-4119 Get Directions Write a Review

NPPES record last updated: November 25, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Office 5 Pllc NPPES

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

OFFICE 5 PLLC (NPI 1407450877), doing business as South Lyon Dental, is a healthcare organization registered as a dental public health in South Lyon, Michigan and active in the NPI registry since November 2020. The organization lists Randall Loren Shaw, Owner, as its authorized official.

NPPES Registry Identity

NPI1407450877
Entity TypeOrganization
Primary Taxonomy1223D0001X
Legal Business NameOFFICE 5 PLLC
Location Address201 S LAFAYETTE STSouth Lyon, MI 48178-1405
Mailing Address350 Pine Ridge DrBloomfield Hills, MI 48304-2139 · (248) 931-1151 · Fax (248) 594-2221
Organization SubpartNo
Authorized OfficialRandall Loren ShawOwner · (248) 931-1151
Enumeration DateNovember 25, 2020
NPPES CertifiedNovember 25, 2020
NPI 1407450877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Dental Public HealthDental Providers
Taxonomy Code1223D0001X
Definition

The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.

201 S LAFAYETTE ST, South Lyon, MI 48178

Other Names 1

Doing Business AsSouth Lyon Dental

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 4

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

Dentist (General Practice)
201 S LAFAYETTE ST
SOUTH LYON, MI 48178
Dentist (General Practice)
201 S LAFAYETTE ST
SOUTH LYON, MI 48178
Dentist (General Practice)
201 S LAFAYETTE ST
SOUTH LYON, MI 48178
Dentist (General Practice)
201 S LAFAYETTE ST
SOUTH LYON, MI 48178

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407450877, enumerated as an "organization" on November 25, 2020.

The provider is located at 201 S LAFAYETTE ST SOUTH LYON, MI 48178 and the phone number is (248) 437-4119.

Dentist with taxonomy code 1223D0001X and a focus in Dental Public Health.