OrganizationActive
Northeast Dental Group
NPI 1023195922 · General Practice Dentistry · Southfield, MI
Northeast Dental Group is a General Practice Dentistry organization in Southfield, MI (NPI 1023195922).
Provider details
- NPI number
- 1023195922
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Debra Grace, Office Manager(248) 552-0166
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
21500 Northwestern Hwy
Suite 640
Southfield, MI 48075-5018
Phone: (248) 552-0166
Street-level locationGet directions
Mailing address
21500 Northwestern Hwy
Southfield, MI 48075-5018
Registry dates
- Enumerated
- 2006-11-01
- Last updated
- 2020-08-22
Frequently asked questions
- What is Northeast Dental Group's NPI number?
- Northeast Dental Group's National Provider Identifier (NPI) is 1023195922, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northeast Dental Group?
- Northeast Dental Group is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Northeast Dental Group located?
- Northeast Dental Group's practice location on file with NPPES is 21500 Northwestern Hwy, Southfield, MI 48075-5018.
- What is Northeast Dental Group's phone number?
- The practice phone number listed in the NPPES registry for Northeast Dental Group is (248) 552-0166.
- Who is the authorized official for Northeast Dental Group?
- The authorized official listed on Northeast Dental Group's NPPES record is Debra Grace, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northeast Dental Group's NPI active?
- Yes — Northeast Dental Group's NPI (1023195922) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.