OrganizationActive
Super Dental, PC
NPI 1043460330 · Dentist · Detroit, MI
Super Dental, PC is a Dentist organization in Detroit, MI (NPI 1043460330).
Provider details
- NPI number
- 1043460330
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Sandra Loredo, Director(313) 863-2800
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
15510 Livernois Ave
Detroit, MI 48238-1343
Phone: (313) 863-2800
Street-level locationGet directions
Mailing address
Po Box 38367
Detroit, MI 48238
Registry dates
- Enumerated
- 2008-09-24
- Last updated
- 2008-09-24
Frequently asked questions
- What is Super Dental, PC's NPI number?
- Super Dental, PC's National Provider Identifier (NPI) is 1043460330, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Super Dental, PC?
- Super Dental, PC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Super Dental, PC located?
- Super Dental, PC's practice location on file with NPPES is 15510 Livernois Ave, Detroit, MI 48238-1343.
- What is Super Dental, PC's phone number?
- The practice phone number listed in the NPPES registry for Super Dental, PC is (313) 863-2800.
- Who is the authorized official for Super Dental, PC?
- The authorized official listed on Super Dental, PC's NPPES record is Sandra Loredo, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Super Dental, PC's NPI active?
- Yes — Super Dental, PC's NPI (1043460330) is active in the NPPES registry as of the last update on 2008-09-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.