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

Professional Dental Alliance of Michigan, LLC

Organization Dentist · NPI 1912389842

Professional Dental Alliance of Michigan, LLC provides Dentist services in Hazel Park, Michigan. Licensed in Michigan. Registered with an NPI since 2015.

Licensed in
MI
In the registry since
2015
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

23528 John R Rd
Hazel Park, MI 48030-1409 Not confirmed with CMS for 11 years — call before visiting
Phone: (248) 397-1165
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2901011201 (MI)

Record details

NPI number1912389842
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shakib Halabu — Dentist · (248) 397-1165
Other names Dental Care Of Michigan, Hazel Park
NPI enumeratedJune 27, 2015
Last updated in NPPESJune 27, 2015
Mailing address23528 John R Rd, Hazel Park, MI 48030-1409

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