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REFRESH DENTAL CENTER LINE
NPI 1942740337
Dentist in Center Line, MI

Active since March 03, 2017
23845 VAN DYKE AVE, CENTER LINE, MI 48015(586) 467-0063 Get Directions Write a Review

NPPES record last updated: March 13, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 13, 2017, Mar 3, 2017 (2 updates tracked since 2017).

About Refresh Dental Center Line NPPES

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

REFRESH DENTAL CENTER LINE (NPI 1942740337) is a healthcare organization registered as a dentist in Center Line, Michigan and active in the NPI registry since March 2017. The organization lists Maria Jones, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1942740337
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NamePROFESSIONAL DENTAL ALLIANCE OF MICHIGAN, LLC
Location Address23845 VAN DYKE AVECenter Line, MI 48015-1300
Mailing Address11 S Mill St, Suite 200New Castle, PA 16101-3613 · (724) 698-2500
Phone(586) 467-0063
Organization SubpartNo
Authorized OfficialMaria JonesCredentialing Specialist · (724) 698-2132
Enumeration DateMarch 3, 2017
Last NPPES UpdateMarch 13, 20172 updates tracked since enumeration
✔ NPI 1942740337 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.
23845 VAN DYKE AVE, Center Line, MI 48015
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Other Names 1

Doing Business AsRefresh Dental Center Line

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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Other Providers at the Same Location NPPES

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

CHRISTOPHER DEGENHARDT
Dentist (General Practice)
23845 VAN DYKE AVE
CENTER LINE, MI 48015
Macomb County (586) 467-0063

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 Professional Dental Alliance Of Michigan, LLC's NPI number?

The NPI number for Professional Dental Alliance Of Michigan, LLC is 1942740337. It was assigned to this organization in the NPPES registry on March 3, 2017. The provider is doing business as Refresh Dental Center Line.

Where is Professional Dental Alliance Of Michigan, LLC located?

Professional Dental Alliance Of Michigan, LLC is located at 23845 Van Dyke Ave, Center Line, MI 48015. The listed phone number is (586) 467-0063.

What is Professional Dental Alliance Of Michigan, LLC's specialty?

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

What insurance does Professional Dental Alliance Of Michigan, LLC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Professional Dental Alliance Of Michigan, LLC 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 Professional Dental Alliance Of Michigan, LLC was last updated on March 13, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.