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

Supreme Dental of Plymouth Road PC

Organization Dentist · NPI 1649693102

Supreme Dental of Plymouth Road PC provides Dentist services in Detroit, Michigan. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

20720 Plymouth Rd
Detroit, MI 48228-1275 Not confirmed with CMS for 12 years — call before visiting
Phone: (313) 342-1997
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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 number1649693102
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michele Bloxson — President · (313) 416-6806
NPI enumeratedFebruary 3, 2014
Last updated in NPPESFebruary 3, 2014
Mailing address27201 Ryan Rd, Warren, MI 48092-5127

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