PREFERRED DENTAL PRACTICE, PC
NPI 1841383841
Dentist - General Practice in Eastpointe, MI

Active since October 02, 2006
24901 KELLY RD, EASTPOINTE, MI 48021(586) 772-2090(586) 772-0742 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 31, 2024, Aug 22, 2020 (2 updates tracked since 2020).

About Preferred Dental Practice, Pc NPPES

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

PREFERRED DENTAL PRACTICE, PC (NPI 1841383841), doing business as Nicholas Thomas Dds & Robert Shore Dds, Pc, is a healthcare organization registered as a general practice in Eastpointe, Michigan and active in the NPI registry since October 2006. The organization lists Timothy Gerrit Demeulenaere, General Dentist/president, as its authorized official.

NPPES Registry Identity

NPI1841383841
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePREFERRED DENTAL PRACTICE, PC
Location Address24901 KELLY RDEastpointe, MI 48021-1367
Mailing Address24901 Kelly RdEastpointe, MI 48021-1367 · (586) 772-2090 · Fax (586) 772-0742
Fax(586) 772-0742
Organization SubpartNo
Authorized OfficialTimothy Gerrit DemeulenaereGeneral Dentist/president · (586) 772-2090
Enumeration DateOctober 2, 2006
Last NPPES UpdateJuly 31, 20242 updates tracked since enumeration
NPPES CertifiedJuly 31, 2024
NPI 1841383841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

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.

Also ListedDentistTaxonomy 122300000X
Also ListedDentist · EndodonticsTaxonomy 1223E0200X
Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X
Also ListedDentist · PeriodonticsTaxonomy 1223P0300X
Also ListedDentist · ProsthodonticsTaxonomy 1223P0700X
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X
Also ListedDental HygienistTaxonomy 124Q00000X
24901 KELLY RD, Eastpointe, MI 48021

Other Names 1

Former Legal Business NameNicholas Thomas Dds & Robert Shore Dds, Pc

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 9

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

Nurse Practitioner
24901 KELLY RD
EASTPOINTE, MI 48021
Dentist (General Practice)
24901 KELLY RD
EASTPOINTE, MI 48021
Dentist (General Practice)
24901 KELLY RD
EASTPOINTE, MI 48021
Dentist (General Practice)
24901 KELLY RD
EASTPOINTE, MI 48021
Family Medicine
24901 KELLY RD
EASTPOINTE, MI 48021
Dentist (Endodontics)
24901 KELLY RD
EASTPOINTE, MI 48021
General Practice
24901 KELLY RD
EASTPOINTE, MI 48021
Physician Assistant
24901 KELLY RD
EASTPOINTE, MI 48021

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 Preferred Dental Practice, PC's NPI number?

The NPI number for Preferred Dental Practice, PC is 1841383841. It was assigned to this organization in the NPPES registry on October 2, 2006. The provider was formerly known as Nicholas Thomas Dds & Robert Shore Dds, PC.

Where is Preferred Dental Practice, PC located?

Preferred Dental Practice, PC is located at 24901 Kelly Rd, Eastpointe, MI 48021. The listed phone number is (586) 772-2090.

What is Preferred Dental Practice, PC's specialty?

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

What insurance does Preferred Dental Practice, PC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company and UnitedHealthcare list Preferred Dental Practice, 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 Preferred Dental Practice, PC was last updated on July 31, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.