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

Professional Dental Alliance of Michigan, LLC

Organization Dentist · NPI 1164771481

Professional Dental Alliance of Michigan, LLC provides Dentist services in Warren, Michigan. Registered with an NPI since 2012.

In the registry since
2012
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

11552 E 12 Mile Rd
Warren, MI 48093-2644
Phone: (586) 573-7500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1164771481
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shams Hamama — Regional Manager · (586) 573-7500
Other names Refresh Dental Warren - E. 12 Mile Rd; Refresh Dental Warren - E. 12 Mile Rd
NPI enumeratedAugust 31, 2012
Last updated in NPPESApril 19, 2018
Mailing address11 S Mill St, Ste 200, New Castle, PA 16101-3613

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