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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

IMMACULATE DENTAL PLLC
NPI 1639085277
Dentist - General Practice in Commerce Township, MI

Active since August 22, 2026
4060 HAGGERTY RD, COMMERCE TOWNSHIP, MI 48390(248) 363-0480 Get Directions Write a Review

NPPES record added: August 22, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Immaculate Dental Pllc NPPES

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

IMMACULATE DENTAL PLLC (NPI 1639085277) is a healthcare organization registered as a general practice in Commerce Township, Michigan and active in the NPI registry since August 2026. The organization lists Leena Atisha, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1639085277
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameIMMACULATE DENTAL PLLC
Location Address4060 HAGGERTY RDCommerce Township, MI 48390-1313
Mailing Address34078 Glouster CirFarmington Hills, MI 48331-4700 · (248) 312-8255
Phone(248) 363-0480
Organization SubpartNo
Authorized OfficialLeena AtishaSole Member · (248) 312-8255
Enumeration DateAugust 22, 2026
NPPES CertifiedAugust 22, 2026
✔ NPI 1639085277 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.
4060 HAGGERTY RD, Commerce Township, MI 48390
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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

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 Immaculate Dental PLLC's NPI number?

The NPI number for Immaculate Dental PLLC is 1639085277. It was assigned to this organization in the NPPES registry on August 22, 2026.

Where is Immaculate Dental PLLC located?

Immaculate Dental PLLC is located at 4060 Haggerty Rd, Commerce Township, MI 48390. The listed phone number is (248) 363-0480.

What is Immaculate Dental PLLC'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 Immaculate Dental PLLC was last updated on August 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 days 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.