Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SOUTH LYON PEDIATRIC DENTISTRY PLLC
NPI 1912814765
Dentist - Pediatric Dentistry in South Lyon, MI

Q: What is South Lyon Pediatric Dentistry PLLC's NPI number?

The NPI number for South Lyon Pediatric Dentistry PLLC is 1912814765. It was assigned to this organization in the NPPES registry on August 26, 2026.

Q: What is South Lyon Pediatric Dentistry PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since August 26, 2026

26808 PONTIAC TRAIL, SOUTH LYON, MI 48178(857) 272-2572 Get Directions Write a Review

NPPES record added: August 26, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About South Lyon Pediatric Dentistry Pllc NPPES

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

SOUTH LYON PEDIATRIC DENTISTRY PLLC (NPI 1912814765) is a healthcare organization registered as a pediatric dentistry in South Lyon, Michigan and active in the NPI registry since August 2026. The organization lists Maria Al Ismail, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1912814765

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameSOUTH LYON PEDIATRIC DENTISTRY PLLC

Location Address26808 PONTIAC TRAILSouth Lyon, MI 48178

Mailing Address51019 SilvertonCanton, MI 48187-7719

Phone(857) 272-2572

Organization SubpartNo

Authorized OfficialMaria Al IsmailManaging Member · (734) 926-8428

Enumeration DateAugust 26, 2026

NPPES CertifiedAugust 23, 2026

✔ NPI 1912814765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

26808 PONTIAC TRAIL, South Lyon, MI 48178

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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

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 South Lyon Pediatric Dentistry PLLC's NPI number?

The NPI number for South Lyon Pediatric Dentistry PLLC is 1912814765. It was assigned to this organization in the NPPES registry on August 26, 2026.

Where is South Lyon Pediatric Dentistry PLLC located?

South Lyon Pediatric Dentistry PLLC is located at 26808 Pontiac Trail, South Lyon, MI 48178. The listed phone number is (857) 272-2572.

What is South Lyon Pediatric Dentistry PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for South Lyon Pediatric Dentistry PLLC was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.