LP DENTAL – NPI #1174474019
Clinic/Center

LP DENTAL is an AHC clinic located in SHELBY, MI. NPPES has assigned the NPI number 1174474019 to LP DENTAL on February 06, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LP DENTAL below.

NPI Profile for
LP DENTAL

NPI Number
1174474019
Enumeration Date

(about 4 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LP DENTAL
Primary location
50202 SCHOENHERR RD
SHELBY, MI 48315-3134
Phone: (586) 226-2700 Fax:
Mailing address
16267 ADELAIDE DR
MACOMB, MI 48044-1557
Phone: (586) 907-6537 Fax:
Organization Subpart
No
Authorized Official
LUCIO PERSICHETTI
OWNER/DENTIST
Phone: (586) 907-6537
Updated
Certification Date
Feb 06, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.