LIVERNOIS DENTAL CARE PLLC
NPI 1619533171
Clinic/Center - Dental in Detroit, MI

Q: What is Livernois Dental Care PLLC's NPI number?

The NPI number for Livernois Dental Care PLLC is 1619533171. It was assigned to this organization in the NPPES registry on May 10, 2019.

Q: What is Livernois Dental Care PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since May 10, 2019

17170 LIVERNOIS AVE, DETROIT, MI 48221(313) 340-9709(313) 397-9245 Get Directions Write a Review

NPPES record last updated: May 10, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Livernois Dental Care Pllc NPPES

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

LIVERNOIS DENTAL CARE PLLC (NPI 1619533171) is a healthcare organization registered as a dental in Detroit, Michigan and active in the NPI registry since May 2019. The organization lists Lisa Ann Chiselom, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1619533171

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameLIVERNOIS DENTAL CARE PLLC

Location Address17170 LIVERNOIS AVEDetroit, MI 48221-3028

Mailing Address17170 Livernois AveDetroit, MI 48221-3028 · (313) 340-9709 · Fax (313) 397-9245

Phone(313) 340-9709

Fax(313) 397-9245

Organization SubpartNo

Authorized OfficialLisa Ann ChiselomOffice Manager · (313) 977-0255

Enumeration DateMay 10, 2019

✔ NPI 1619533171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

17170 LIVERNOIS AVE, Detroit, MI 48221

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Other Providers at the Same Location NPPES

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

MEHWISH WASEEM

Dentist

17170 LIVERNOIS AVE
DETROIT, MI 48221

Wayne County (281) 750-5969

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 Livernois Dental Care PLLC's NPI number?

The NPI number for Livernois Dental Care PLLC is 1619533171. It was assigned to this organization in the NPPES registry on May 10, 2019.

Where is Livernois Dental Care PLLC located?

Livernois Dental Care PLLC is located at 17170 Livernois Ave, Detroit, MI 48221. The listed phone number is (313) 340-9709.

What is Livernois Dental Care PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Livernois Dental Care PLLC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Livernois Dental Care 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 Livernois Dental Care PLLC was last updated on May 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.