DENTAL SPECIALISTS PLLC – NPI #1366954836
Clinic/Center

DENTAL SPECIALISTS PLLC is an AHC clinic located in LANSING, MI. NPPES has assigned the NPI number 1366954836 to DENTAL SPECIALISTS PLLC on October 24, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, 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

The NPI profile was previously updated about 8 years ago on Sep 05, 2018. 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 DENTAL SPECIALISTS PLLC below.

NPI Profile for
DENTAL SPECIALISTS PLLC

NPI Number
1366954836
Enumeration Date

(more than 8 years 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
DENTAL SPECIALISTS PLLC
Primary location
3526 W SAGINAW ST
LANSING, MI 48917
Phone: (517) 321-2539 Fax:
Mailing address
350 PINE RIDGE DR
BLOOMFIELD HILLS, MI 48304-2139
Phone: (248) 931-1151 Fax: (248) 594-2221
Organization Subpart
No
Authorized Official
RANDALL SHAW
MANAGER
Phone: (248) 931-1151
Updated
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)
1223G0001X
- Dentist / General Practice

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.