LIVONIA LASER DENTISTRY
NPI 1811476955
Dentist - General Practice in Livonia, MI

Active since August 09, 2018
31632 SCHOOLCRAFT RD, LIVONIA, MI 48150(734) 425-6920(734) 425-1541 Get Directions Write a Review

NPPES record last updated: August 9, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Livonia Laser Dentistry NPPES

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

LIVONIA LASER DENTISTRY (NPI 1811476955) is a healthcare organization registered as a general practice in Livonia, Michigan and active in the NPI registry since August 2018. The organization lists Fady Mansour, Admin, as its authorized official.

NPPES Registry Identity

NPI1811476955
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLIVONIA LASER DENTISTRY
Location Address31632 SCHOOLCRAFT RDLivonia, MI 48150-1819
Mailing Address31632 Schoolcraft RdLivonia, MI 48150-1819 · (734) 425-6920 · Fax (734) 425-1541
Fax(734) 425-1541
Organization SubpartNo
Authorized OfficialFady MansourAdmin · (734) 425-6920
Enumeration DateAugust 9, 2018
NPI 1811476955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MI · 2901017025
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.
31632 SCHOOLCRAFT RD, Livonia, MI 48150

Other Identifiers 2

Medicaid13167481MI
Other2901017025MI · Michigan Professional License - Dentisy

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

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
31632 SCHOOLCRAFT RD
LIVONIA, MI 48150
Dentist
31632 SCHOOLCRAFT RD
LIVONIA, MI 48150
Preferred Provider Organization
31632 SCHOOLCRAFT RD
LIVONIA, MI 48150

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 Livonia Laser Dentistry's NPI number?

The NPI number for Livonia Laser Dentistry is 1811476955. It was assigned to this organization in the NPPES registry on August 9, 2018.

Where is Livonia Laser Dentistry located?

Livonia Laser Dentistry is located at 31632 Schoolcraft Rd, Livonia, MI 48150. The listed phone number is (734) 425-6920.

What is Livonia Laser Dentistry's specialty?

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

What insurance does Livonia Laser Dentistry accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Michigan Mutual Insurance Company and UnitedHealthcare list Livonia Laser Dentistry 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 Livonia Laser Dentistry was last updated on August 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.