PROFESSIONAL DENTAL ALLIANCE OF MI - LMTD, PLLC
NPI 1447962055
Dentist - General Practice in Chesterfield, MI

Q: What is Professional Dental Alliance Of Mi - Lmtd, PLLC's specialty?

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

Active since December 15, 2022

27891 23 MILE RD., CHESTERFIELD, MI 48051(856) 840-8050(586) 690-4470 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 9, 2023, Dec 15, 2022 (2 updates tracked since 2022).

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About Professional Dental Alliance Of Mi - Lmtd, Pllc NPPES

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

PROFESSIONAL DENTAL ALLIANCE OF MI - LMTD, PLLC (NPI 1447962055) is a healthcare organization registered as a general practice in Chesterfield, Michigan and active in the NPI registry since December 2022. The organization maintains a secondary practice location in South Lyon and lists Erica Quinteros, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1447962055

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NamePROFESSIONAL DENTAL ALLIANCE OF MI - LMTD, PLLC

Location Address27891 23 MILE RD.Chesterfield, MI 48051

Mailing Address125 Enterprise Dr Ste 200Pittsburgh, PA 15275-1223 · (726) 901-1964

Phone(856) 840-8050

Fax(586) 690-4470

Organization SubpartNo

Authorized OfficialErica QuinterosCredentialing · (724) 901-1964

Enumeration DateDecember 15, 2022

Last NPPES UpdateAugust 9, 20232 updates tracked since enumeration

NPPES CertifiedAugust 7, 2023

✔ NPI 1447962055 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.

27891 23 MILE RD., Chesterfield, MI 48051

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Secondary Practice Location 1

Location 122181 Pontiac TrlSouth Lyon, MI 48178 · Phone (248) 491-7116 · Fax (248) 864-7401

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 Professional Dental Alliance Of Mi - Lmtd, PLLC's NPI number?

The NPI number for Professional Dental Alliance Of Mi - Lmtd, PLLC is 1447962055. It was assigned to this organization in the NPPES registry on December 15, 2022.

Where is Professional Dental Alliance Of Mi - Lmtd, PLLC located?

Professional Dental Alliance Of Mi - Lmtd, PLLC is located at 27891 23 Mile Rd., Chesterfield, MI 48051. The listed phone number is (856) 840-8050.

What is Professional Dental Alliance Of Mi - Lmtd, PLLC's specialty?

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

What insurance does Professional Dental Alliance Of Mi - Lmtd, PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Professional Dental Alliance Of Mi - Lmtd, 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 Professional Dental Alliance Of Mi - Lmtd, PLLC was last updated on August 9, 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.