PRO DENTAL MI 1 PC
NPI 1699502963
Dentist - General Practice in Saginaw, MI

Active since September 19, 2024
1720 LAWNDALE RD, SAGINAW, MI 48638(989) 249-7888(989) 401-9201 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Pro Dental Mi 1 Pc NPPES

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

PRO DENTAL MI 1 PC (NPI 1699502963), doing business as Destiny Dental Of Saginaw, is a healthcare organization registered as a general practice in Saginaw, Michigan and active in the NPI registry since September 2024. The organization lists Simone Wilson-adeleke, Director Of Credentialing, as its authorized official.

NPPES Registry Identity

NPI1699502963
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePRO DENTAL MI 1 PC
Location Address1720 LAWNDALE RDSaginaw, MI 48638-4396
Mailing Address10 Woodbridge Center Dr Ste 520Woodbridge, NJ 07095-1152 · (732) 731-8398
Fax(989) 401-9201
Organization SubpartNo
Authorized OfficialSimone Wilson-adelekeDirector Of Credentialing · (732) 731-8398
Enumeration DateSeptember 19, 2024
NPPES CertifiedSeptember 19, 2024
NPI 1699502963 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.

1720 LAWNDALE RD, Saginaw, MI 48638

Other Names 1

Doing Business AsDestiny Dental Of Saginaw

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

Other Providers at the Same Location NPPES 3

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

Dentist
1720 LAWNDALE RD
SAGINAW, MI 48638
Dentist (General Practice)
1720 LAWNDALE RD
SAGINAW, MI 48638
Dentist
1720 LAWNDALE RD
SAGINAW, MI 48638

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 Pro Dental Mi 1 PC's NPI number?

The NPI number for Pro Dental Mi 1 PC is 1699502963. It was assigned to this organization in the NPPES registry on September 19, 2024.

Where is Pro Dental Mi 1 PC located?

Pro Dental Mi 1 PC is located at 1720 Lawndale Rd, Saginaw, MI 48638. The listed phone number is (989) 249-7888.

What is Pro Dental Mi 1 PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Pro Dental Mi 1 PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Pro Dental Mi 1 PC 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 Pro Dental Mi 1 PC was last updated on September 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.