1. Home
  2. Directory
  3. Michigan
  4. Warren
  5. Dentist
  6. NPI Profile

SUPREME DENTAL PC
NPI 1891118352
Dentist in Warren, MI

Active since February 03, 2014
27201 RYAN RD, WARREN, MI 48092(586) 558-8004 Get Directions Write a Review

NPPES record last updated: February 3, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Supreme Dental Pc NPPES

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

SUPREME DENTAL PC (NPI 1891118352) is a healthcare organization registered as a dentist in Warren, Michigan and active in the NPI registry since February 2014. The organization lists Michele Bloxson, President, as its authorized official.

NPPES Registry Identity

NPI1891118352
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSUPREME DENTAL PC
Location Address27201 RYAN RDWarren, MI 48092-5127
Mailing Address27201 Ryan RdWarren, MI 48092-5127
Phone(586) 558-8004
Organization SubpartNo
Authorized OfficialMichele BloxsonPresident · (313) 416-6806
Enumeration DateFebruary 3, 2014
✔ NPI 1891118352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
27201 RYAN RD, Warren, MI 48092
Open in Google Maps ↗

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

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.

SPECIAL DENTAL PC
Dentist
27201 RYAN RD
WARREN, MI 48092
Macomb County (586) 558-8004
MARK V YEZBICK RDH
Dental Hygienist
27201 RYAN RD
WARREN, MI 48092
Macomb County (313) 863-2800
KATHRYN B JONES RDH
Dental Hygienist
27201 RYAN RD
WARREN, MI 48092
Macomb County (313) 863-2800

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 Supreme Dental PC's NPI number?

The NPI number for Supreme Dental PC is 1891118352. It was assigned to this organization in the NPPES registry on February 3, 2014.

Where is Supreme Dental PC located?

Supreme Dental PC is located at 27201 Ryan Rd, Warren, MI 48092. The listed phone number is (586) 558-8004.

What is Supreme Dental PC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Supreme Dental PC was last updated on February 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.