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

Michigan Private Dental Group

Organization General Practice Dentistry · NPI 1902203227

Michigan Private Dental Group provides General Practice Dentistry in Saint Clair Shores, Michigan. Licensed in Michigan. Registered with an NPI since 2014.

Licensed in
MI
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

27731 Jefferson Ave
Saint Clair Shores, MI 48081-1309 Not confirmed with CMS for 11 years — call before visiting
Phone: (586) 771-6440
Fax: (586) 771-8877
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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 · Licence 15810 (MI)
General Practice Dentistry Taxonomy 1223G0001X · Licence 19241 (MI)

Record details

NPI number1902203227
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Bielkie — President · (586) 771-3440
Other names Stoneridge Dental
NPI enumeratedDecember 2, 2014
Last updated in NPPESDecember 2, 2014
Mailing address27731 Jefferson Ave, Saint Clair Shores, MI 48081-1309

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