Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Professional Denal Alliance of Michigan, LLC

Organization Dentist · NPI 1780186080

Professional Denal Alliance of Michigan, LLC provides Dentist services in Southfield, Michigan. Licensed in Michigan. Registered with an NPI since 2018.

Licensed in
MI
In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

19189 W 10 Mile Rd
Southfield, MI 48075-2442
Phone: (248) 996-8756
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2901021424 (MI)

Record details

NPI number1780186080
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Annette Marlow — Credentialing Supervisor · (724) 698-2119
Other names Refresh Dental Southfield - W 10 Mile Rd
NPI enumeratedMarch 2, 2018
Last updated in NPPESMarch 2, 2018
Mailing address11 S Mill St Ste 200, New Castle, PA 16101-3680

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