MAIN STREET DENTAL PLLC
NPI 1679215818
Dentist in Olivet, MI

Active since April 08, 2022
123 S MAIN ST, OLIVET, MI 49076(269) 749-9477(269) 749-9810 Get Directions Write a Review

NPPES record last updated: April 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Main Street Dental Pllc NPPES

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

MAIN STREET DENTAL PLLC (NPI 1679215818) is a healthcare organization registered as a dentist in Olivet, Michigan and active in the NPI registry since April 2022. The organization lists Lana Lewis, Member, as its authorized official.

NPPES Registry Identity

NPI1679215818
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameMAIN STREET DENTAL PLLC
Location Address123 S MAIN STOlivet, MI 49076-9404
Mailing AddressPo Box 536Olivet, MI 49076-0536 · (269) 749-9477
Fax(269) 749-9810
Organization SubpartNo
Authorized OfficialLana LewisMember · (269) 749-9477
Enumeration DateApril 8, 2022
NPPES CertifiedApril 8, 2022
NPI 1679215818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
123 S MAIN ST, Olivet, MI 49076

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

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
123 S MAIN ST
OLIVET, MI 49076

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 Main Street Dental PLLC's NPI number?

The NPI number for Main Street Dental PLLC is 1679215818. It was assigned to this organization in the NPPES registry on April 8, 2022.

Where is Main Street Dental PLLC located?

Main Street Dental PLLC is located at 123 S Main St, Olivet, MI 49076. The listed phone number is (269) 749-9477.

What is Main Street Dental PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Main Street Dental PLLC was last updated on April 8, 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.