OrganizationActive
Detroit Dental Rx PLLC
NPI 1053254193 · Non-Pharmacy Dispensing Site · Detroit, MI
Detroit Dental Rx PLLC is a Non-Pharmacy Dispensing Site organization in Detroit, MI (NPI 1053254193).
Provider details
- NPI number
- 1053254193
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Alex Wolicki, Member(586) 558-8004
Specialties & taxonomies
Suppliers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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) 217-0014
Fax: (313) 246-1886
Street-level locationGet directions
Mailing address
27201 Ryan Rd
Warren, MI 48092-5127
Registry dates
- Enumerated
- 2026-04-13
- Last updated
- 2026-04-13
- Certified
- 2026-04-13
Frequently asked questions
- What is Detroit Dental Rx PLLC's NPI number?
- Detroit Dental Rx PLLC's National Provider Identifier (NPI) is 1053254193, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Detroit Dental Rx PLLC?
- Detroit Dental Rx PLLC is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Detroit Dental Rx PLLC located?
- Detroit Dental Rx PLLC's practice location on file with NPPES is 15510 Livernois Ave, Detroit, MI 48238-1343.
- What is Detroit Dental Rx PLLC's phone number?
- The practice phone number listed in the NPPES registry for Detroit Dental Rx PLLC is (313) 217-0014.
- Who is the authorized official for Detroit Dental Rx PLLC?
- The authorized official listed on Detroit Dental Rx PLLC's NPPES record is Alex Wolicki, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Detroit Dental Rx PLLC's NPI active?
- Yes — Detroit Dental Rx PLLC's NPI (1053254193) is active in the NPPES registry as of the last update on 2026-04-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.