PROVIDENT DENTISTRY
NPI 1407887656
Dentist in Novi, MI

Active since July 05, 2006
40105 GRAND RIVER AVE, SUITE 1, NOVI, MI 48375(248) 471-0345(248) 471-0671 Get Directions Write a Review

NPPES record last updated: July 23, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Provident Dentistry NPPES

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

PROVIDENT DENTISTRY (NPI 1407887656) is a healthcare organization registered as a dentist in Novi, Michigan and active in the NPI registry since July 2006. The organization lists Alan Jeffrey Kessler, Secretary, as its authorized official.

NPPES Registry Identity

NPI1407887656
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NamePROVIDENT DENTISTRY
Location Address40105 GRAND RIVER AVE, SUITE 1Novi, MI 48375-2170
Mailing Address40105 Grand River Ave, Suite 1Novi, MI 48375-2170 · (248) 471-0345 · Fax (248) 471-0671
Fax(248) 471-0671
Organization SubpartNo
Authorized OfficialAlan Jeffrey KesslerSecretary · (248) 471-0345
Enumeration DateJuly 5, 2006
Last NPPES UpdateJuly 23, 2008
NPI 1407887656 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.
40105 GRAND RIVER AVE, Novi, MI 48375

Other Identifiers 1

Medicaid12 2753487MI

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 8

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

Dentist
40105 GRAND RIVER AVE
NOVI, MI 48375
Dentist (General Practice)
40105 GRAND RIVER AVE, SUITE 1
NOVI, MI 48375
Dentist (General Practice)
40105 GRAND RIVER AVE, STE 1
NOVI, MI 48375
Dentist
40105 GRAND RIVER AVE
NOVI, MI 48375
Dentist (General Practice)
40105 GRAND RIVER AVE, SUITE 1
NOVI, MI 48375
Dentist (Pediatric Dentistry)
40105 GRAND RIVER AVE, SUITE 2
NOVI, MI 48375
Dentist (General Practice)
40105 GRAND RIVER AVE, SUITE 1
NOVI, MI 48375
Dentist (General Practice)
40105 GRAND RIVER AVE, SUITE 1
NOVI, MI 48375

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 Provident Dentistry's NPI number?

The NPI number for Provident Dentistry is 1407887656. It was assigned to this organization in the NPPES registry on July 5, 2006.

Where is Provident Dentistry located?

Provident Dentistry is located at 40105 Grand River Ave Suite 1, Novi, MI 48375. The listed phone number is (248) 471-0345.

What is Provident Dentistry's specialty?

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

When was this NPI record last updated?

The NPPES record for Provident Dentistry was last updated on July 23, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.