DEXTER DENTAL STUDIO PLLC
NPI 1508131160
Dentist in Dexter, MI

Active since March 15, 2012CLIA 23D2187631 · Waiver
7300 DEXTER ANN ARBOR RD STE 300, DEXTER, MI 48130(734) 426-8360(734) 426-8374 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 18, 2025, Dec 19, 2024 (2 updates tracked since 2024).

About Dexter Dental Studio Pllc NPPES

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

DEXTER DENTAL STUDIO PLLC (NPI 1508131160) is a healthcare organization registered as a dentist in Dexter, Michigan and active in the NPI registry since March 2012. The organization holds a CLIA Waiver certificate valid through July 5, 2028 and lists Annelies S Cornish, Owner, as its authorized official.

NPPES Registry Identity

NPI1508131160
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameDEXTER DENTAL STUDIO PLLC
Location Address7300 DEXTER ANN ARBOR RD STE 300Dexter, MI 48130-8598
Mailing Address7300 Dexter Ann Arbor Rd Ste 300Dexter, MI 48130-8598 · (734) 426-8360 · Fax (734) 426-8374
Fax(734) 426-8374
Organization SubpartNo
Authorized OfficialAnnelies S CornishOwner · (734) 426-8360
Enumeration DateMarch 15, 2012
Last NPPES UpdateFebruary 18, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2025
NPI 1508131160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
7300 DEXTER ANN ARBOR RD STE 300, Dexter, MI 48130

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2187631

Dexter Dental Studio · Dexter, MI
Active · expires Jul 5, 2028
CLIA Number23D2187631
Laboratory TypePhysician Office
Certificate Effective DateJuly 6, 2026
Certificate Expiration DateJuly 5, 2028
Laboratory DirectorPiiamari R. Bowers
Laboratory Phone(734) 426-8360
Laboratory LocationDexter Dental Studio7300 Dexter Ann Arbor Road Suite 300, Dexter, MI 48130
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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
7300 DEXTER ANN ARBOR RD STE 300
DEXTER, MI 48130
Dentist
7300 DEXTER ANN ARBOR RD STE 300
DEXTER, MI 48130
Dentist (General Practice)
7300 DEXTER ANN ARBOR RD STE 300
DEXTER, MI 48130
Dentist
7300 DEXTER ANN ARBOR RD STE 300
DEXTER, MI 48130

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 Dexter Dental Studio PLLC's NPI number?

The NPI number for Dexter Dental Studio PLLC is 1508131160. It was assigned to this organization in the NPPES registry on March 15, 2012.

Where is Dexter Dental Studio PLLC located?

Dexter Dental Studio PLLC is located at 7300 Dexter Ann Arbor Rd Ste 300, Dexter, MI 48130. The listed phone number is (734) 426-8360.

What is Dexter Dental Studio PLLC's specialty?

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

Does Dexter Dental Studio PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2187631) is associated with this NPI, valid through July 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dexter Dental Studio PLLC was last updated on February 18, 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.