SOUTHFIELD FAMILY DENTAL CENTER PLLC
NPI 1639812050
Dentist - General Practice in Southfield, MI

Active since April 14, 2022
18800 W 10 MILE RD, SOUTHFIELD, MI 48075(248) 569-6304 Get Directions Write a Review

NPPES record last updated: April 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southfield Family Dental Center Pllc NPPES

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

SOUTHFIELD FAMILY DENTAL CENTER PLLC (NPI 1639812050) is a healthcare organization registered as a general practice in Southfield, Michigan and active in the NPI registry since April 2022. The organization lists Chad Hendricks, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1639812050
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSOUTHFIELD FAMILY DENTAL CENTER PLLC
Location Address18800 W 10 MILE RDSouthfield, MI 48075-2654
Mailing Address18800 W 10 Mile RdSouthfield, MI 48075-2654 · (248) 569-6304
Organization SubpartNo
Authorized OfficialChad HendricksCredentialing · (612) 859-0444
Enumeration DateApril 14, 2022
NPPES CertifiedApril 14, 2022
NPI 1639812050 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.
18800 W 10 MILE RD, Southfield, MI 48075

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

Other Providers at the Same Location NPPES 8

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

Dentist (General Practice)
18800 W 10 MILE RD
SOUTHFIELD, MI 48075
Dentist (General Practice)
18800 W 10 MILE RD
SOUTHFIELD, MI 48075
Dentist (General Practice)
18800 W 10 MILE RD
SOUTHFIELD, MI 48075
Dentist
18800 W 10 MILE RD
SOUTHFIELD, MI 48075
Dentist (General Practice)
18800 W 10 MILE RD
SOUTHFIELD, MI 48075
Dentist (General Practice)
18800 W 10 MILE RD
SOUTHFIELD, MI 48075
Dentist (General Practice)
18800 W 10 MILE RD
SOUTHFIELD, MI 48075
Home Health
18800 W 10 MILE RD, SUITE 204
SOUTHFIELD, MI 48075

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 Southfield Family Dental Center PLLC's NPI number?

The NPI number for Southfield Family Dental Center PLLC is 1639812050. It was assigned to this organization in the NPPES registry on April 14, 2022.

Where is Southfield Family Dental Center PLLC located?

Southfield Family Dental Center PLLC is located at 18800 W 10 Mile Rd, Southfield, MI 48075. The listed phone number is (248) 569-6304.

What is Southfield Family Dental Center 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 Southfield Family Dental Center PLLC was last updated on April 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.