1. Home
  2. Directory
  3. Michigan
  4. Troy
  5. Specialist
  6. NPI Profile

METROPOLITAN DERMATOLOGY CENTER, P.C.
NPI 1962675207
Specialist in Troy, MI

Active since April 08, 2008CLIA Certified · 2 labs
38865 DEQUINDRE RD, SUITE 104, TROY, MI 48083(248) 743-9330(248) 743-9332 Get Directions Write a Review

NPPES record last updated: April 2, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Metropolitan Dermatology Center, P.c. NPPES

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

METROPOLITAN DERMATOLOGY CENTER, P.C. (NPI 1962675207) is a healthcare organization registered as a specialist in Troy, Michigan and active in the NPI registry since April 2008. The organization holds 2 active CLIA laboratory certificates and lists George P Malick, Physician, as its authorized official.

NPPES Registry Identity

NPI1962675207
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMETROPOLITAN DERMATOLOGY CENTER, P.C.
Location Address38865 DEQUINDRE RD, SUITE 104Troy, MI 48083-6812
Mailing Address38865 Dequindre Rd, Suite 104Troy, MI 48083-6812 · (248) 743-9330 · Fax (248) 743-9332
Phone(248) 743-9330
Fax(248) 743-9332
Organization SubpartNo
Authorized OfficialGeorge P MalickPhysician · (248) 743-9330
Enumeration DateApril 8, 2008
Last NPPES UpdateApril 2, 2015
✔ NPI 1962675207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MI · 4301032495
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

38865 DEQUINDRE RD, Troy, MI 48083
Open in Google Maps ↗

Other Identifiers 4

Other0705022692MI · Bcbs
Medicaid1068315MI
Medicare UPINB438080
Medicare PIN4500006

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

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 23D2012061

Metropolitan Dermatology Center PC · Troy, MI
Active · expires Aug 26, 2026
CLIA Number23D2012061
Laboratory TypePhysician Office
Certificate Effective DateAugust 27, 2024
Certificate Expiration DateAugust 26, 2026
Laboratory DirectorGeorge Malick
Laboratory Phone(248) 743-9330
Laboratory LocationMetropolitan Dermatology Center PC38865 Dequindre Rd Ste 104, Troy, MI 48083
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 23D2013481

Metropolitan Dermatology Center PC · West Bloomfield, MI
Active · expires Sep 20, 2026
CLIA Number23D2013481
Laboratory TypePhysician Office
Certificate Effective DateSeptember 21, 2024
Certificate Expiration DateSeptember 20, 2026
Laboratory DirectorGeorge Malick
Laboratory Phone(248) 743-9330
Laboratory LocationMetropolitan Dermatology Center PC2077 Hiller Road, West Bloomfield, MI 48324
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 15

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

ASSOCIATES OF INTERNAL MEDICINE, P.C.
Internal Medicine
38865 DEQUINDRE RD, SUITE 106
TROY, MI 48083
Oakland County (248) 720-2626
DENTISTS R US
Dentist (General Practice)
38865 DEQUINDRE RD, SUITE 105
TROY, MI 48083
Oakland County (248) 879-7755
DR. FARAH KATHERINE MALICK M.D.
Dermatology
38865 DEQUINDRE RD, SUITE 104
TROY, MI 48083
Oakland County (248) 743-9330
DR. SHERETTA OATES
Dentist
38865 DEQUINDRE RD, SUITE 105
TROY, MI 48083
Oakland County (248) 879-7755
MICHIGAN DERMATOLOGY CENTER, PLLC
Dermatology
38865 DEQUINDRE RD, SUITE #104
TROY, MI 48083
Oakland County (248) 743-9330
GRACE MARIE MONTANO-SANDOVAL RDH
Dental Hygienist
38865 DEQUINDRE RD, SUITE 105
TROY, MI 48083
Oakland County (248) 879-7755
MRS. RENE KIMBERLY CIPPONERI RDH
Dental Hygienist
38865 DEQUINDRE RD
TROY, MI 48083
Oakland County (248) 879-7755
ERICA CASTON RDH
Dental Hygienist
38865 DEQUINDRE RD, SUITE 105
TROY, MI 48083
Oakland County (248) 879-7755

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 Metropolitan Dermatology Center, P.C.'s NPI number?

The NPI number for Metropolitan Dermatology Center, P.C. is 1962675207. It was assigned to this organization in the NPPES registry on April 8, 2008.

Where is Metropolitan Dermatology Center, P.C. located?

Metropolitan Dermatology Center, P.C. is located at 38865 Dequindre Rd Suite 104, Troy, MI 48083. The listed phone number is (248) 743-9330.

What is Metropolitan Dermatology Center, P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Metropolitan Dermatology Center, P.C. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Metropolitan Dermatology Center, P.C. was last updated on April 2, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.