MAIN STREET DERMATOLOGY, PLLC
NPI 1881371946
Dermatology in Clarkston, MI

Active since June 30, 2023
5885 S MAIN ST STE 1, CLARKSTON, MI 48346(248) 238-8059 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Main Street Dermatology, Pllc NPPES

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

MAIN STREET DERMATOLOGY, PLLC (NPI 1881371946) is a healthcare organization registered as a dermatology in Clarkston, Michigan and active in the NPI registry since June 2023. The organization lists Kenzie Gardner, Nurse Practitioner, Operator, as its authorized official.

NPPES Registry Identity

NPI1881371946
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMAIN STREET DERMATOLOGY, PLLC
Location Address5885 S MAIN ST STE 1Clarkston, MI 48346-2981
Mailing Address5885 S Main St Ste 1Clarkston, MI 48346-2981 · (248) 238-8059
Organization SubpartNo
Authorized OfficialKenzie GardnerNurse Practitioner, Operator · (614) 507-3765
Enumeration DateJune 30, 2023
Last NPPES UpdateAugust 3, 2023
NPPES CertifiedAugust 3, 2023
NPI 1881371946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
5885 S MAIN ST STE 1, Clarkston, MI 48346

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 MULTIPLE 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.

Nurse Practitioner (Family)
5885 S MAIN ST STE 1
CLARKSTON, MI 48346
Dermatology
5885 S MAIN ST STE 1
CLARKSTON, MI 48346
Nurse Practitioner (Family)
5885 S MAIN ST STE 1
CLARKSTON, MI 48346

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 Dermatology, PLLC's NPI number?

The NPI number for Main Street Dermatology, PLLC is 1881371946. It was assigned to this organization in the NPPES registry on June 30, 2023.

Where is Main Street Dermatology, PLLC located?

Main Street Dermatology, PLLC is located at 5885 S Main St Ste 1, Clarkston, MI 48346. The listed phone number is (248) 238-8059.

What is Main Street Dermatology, PLLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

What insurance does Main Street Dermatology, PLLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Main Street Dermatology, 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 Main Street Dermatology, PLLC was last updated on August 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.