1. Home
  2. Directory
  3. Michigan
  4. Troy
  5. Dentist
  6. NPI Profile

SQUARE LAKE FAMILY DENTISTRY
NPI 1558442202
Dentist - General Practice in Troy, MI

Active since October 18, 2006
6053 ROCHESTER RD, TROY, MI 48085(248) 879-5858(248) 879-3578 Get Directions Write a Review

NPPES record last updated: January 31, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Square Lake Family Dentistry NPPES

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

SQUARE LAKE FAMILY DENTISTRY (NPI 1558442202) is a healthcare organization registered as a general practice in Troy, Michigan and active in the NPI registry since October 2006. The organization lists Pritida Tushar Patel, Secretary, as its authorized official.

NPPES Registry Identity

NPI1558442202
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSQUARE LAKE FAMILY DENTISTRY
Location Address6053 ROCHESTER RDTroy, MI 48085-1303
Mailing Address6053 Rochester RdTroy, MI 48085-1303 · (248) 879-5858 · Fax (248) 879-3578
Phone(248) 879-5858
Fax(248) 879-3578
Organization SubpartNo
Authorized OfficialPritida Tushar PatelSecretary · (248) 879-5858
Enumeration DateOctober 18, 2006
Last NPPES UpdateJanuary 31, 2008
✔ NPI 1558442202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in MI · 2901015961✔ Licensed in MI · 2901015929
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.
6053 ROCHESTER RD, Troy, MI 48085
Open in Google Maps ↗

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

DR. MANISHA VRAJESH PATEL D.D.S.
Dentist
6053 ROCHESTER RD
TROY, MI 48085
Oakland County (248) 879-5858
NEW TROY GROUP DENTAL PLLC
Dentist (General Practice)
6053 ROCHESTER RD
TROY, MI 48085
Oakland County (248) 558-2785
PRITIDA T PATEL DDS
Dentist (General Practice)
6053 ROCHESTER RD
TROY, MI 48085
Oakland County (248) 879-5858
TROY GROUP DENTAL ASSOCIATES PLLC
Dentist (General Practice)
6053 ROCHESTER RD
TROY, MI 48085
Oakland County (248) 749-5858
MIRNA MIKA ARAFAT
Dentist
6053 ROCHESTER RD
TROY, MI 48085
Oakland County (248) 879-5858
HANNADMD.PLLC
Dentist (General Practice)
6053 ROCHESTER RD
TROY, MI 48085
Oakland County (248) 879-5858

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 Square Lake Family Dentistry's NPI number?

The NPI number for Square Lake Family Dentistry is 1558442202. It was assigned to this organization in the NPPES registry on October 18, 2006.

Where is Square Lake Family Dentistry located?

Square Lake Family Dentistry is located at 6053 Rochester Rd, Troy, MI 48085. The listed phone number is (248) 879-5858.

What is Square Lake Family Dentistry's specialty?

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

When was this NPI record last updated?

The NPPES record for Square Lake Family Dentistry was last updated on January 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.