Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

East Lake Dental PLLC

Organization General Practice Dentistry · NPI 1104401645

East Lake Dental PLLC provides General Practice Dentistry in South Lyon, Michigan. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

201 S Lafayette St
South Lyon, MI 48178-1405
Phone: (248) 437-4119
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1104401645
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Jenkins — Owner Dentist · (248) 321-9485
NPI enumeratedMarch 16, 2021
Last updated in NPPESMarch 16, 2021
Certification dateMarch 12, 2021
Mailing address3542 Oakshire Ave, Berkley, MI 48072-3411

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