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DEVELOPMENTAL DENTISTRY, PLLC
NPI 1679721294
Dentist - Pediatric Dentistry in Detroit, MI

Active since September 08, 2008
79 W ALEXANDRINE ST, 3RD. FLOOR, DETROIT, MI 48201(313) 576-2538(313) 576-2534 Get Directions Write a Review

NPPES record last updated: September 8, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Developmental Dentistry, Pllc NPPES

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

DEVELOPMENTAL DENTISTRY, PLLC (NPI 1679721294) is a healthcare organization registered as a pediatric dentistry in Detroit, Michigan and active in the NPI registry since September 2008. The organization lists Sue Fagan, Business Coordinator, as its authorized official.

NPPES Registry Identity

NPI1679721294
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameDEVELOPMENTAL DENTISTRY, PLLC
Location Address79 W ALEXANDRINE ST, 3RD. FLOORDetroit, MI 48201-2015
Mailing Address79 W Alexandrine St, 3rd. FloorDetroit, MI 48201-2015 · (313) 576-2538 · Fax (313) 576-2534
Phone(313) 576-2538
Fax(313) 576-2534
Organization SubpartNo
Authorized OfficialSue FaganBusiness Coordinator · (313) 576-2538
Enumeration DateSeptember 8, 2008
✔ NPI 1679721294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X
Also ListedDental HygienistTaxonomy 124Q00000X
79 W ALEXANDRINE ST, Detroit, MI 48201
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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

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 20

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

LEAH WELTON MSW
Social Worker (Clinical)
79 W ALEXANDRINE ST
DETROIT, MI 48201
Wayne County (313) 831-5535
MS. EMILY FRANCES TROYER LPC
Counselor (Professional)
79 W ALEXANDRINE ST
DETROIT, MI 48201
Wayne County (313) 831-5535
ROJET MORROW LLMSW,CMHP
Social Worker (Clinical)
79 W ALEXANDRINE ST
DETROIT, MI 48201
Wayne County (313) 831-5535
ANGELA ORR
Behavior Technician
79 W ALEXANDRINE ST
DETROIT, MI 48201
Wayne County (313) 831-5535
LORETTA BANTOM
Counselor (Professional)
79 W ALEXANDRINE ST
DETROIT, MI 48201
Wayne County (313) 831-5535
LINDA HENDERSON
Specialist
79 W ALEXANDRINE ST
DETROIT, MI 48201
Wayne County (313) 831-5535
CIARA COX
Behavior Technician
79 W ALEXANDRINE ST
DETROIT, MI 48201
Wayne County (313) 831-2008
THE CHILDREN'S CENTER OF WAYNE CO., INC.
Psychologist (Clinical Child & Adolescent)
79 W ALEXANDRINE ST
DETROIT, MI 48201
Wayne County (313) 262-0951

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 Developmental Dentistry, PLLC's NPI number?

The NPI number for Developmental Dentistry, PLLC is 1679721294. It was assigned to this organization in the NPPES registry on September 8, 2008.

Where is Developmental Dentistry, PLLC located?

Developmental Dentistry, PLLC is located at 79 W Alexandrine St 3rd. Floor, Detroit, MI 48201. The listed phone number is (313) 576-2538.

What is Developmental Dentistry, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Developmental Dentistry, PLLC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Developmental Dentistry, 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 Developmental Dentistry, PLLC was last updated on September 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.