IndividualActive
Alec Maddalena, DDS
NPI 1114658929 · Dentist · Canton, MI
Provider details
- NPI number
- 1114658929
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2901601333 (MI)
Specialties & taxonomies
Dental Providers
Practice location
42301 Cherry Hill Rd Ste D
Canton, MI 48188-1200
Phone: (734) 981-4040
Approximate (ZIP-level) locationGet directions
Mailing address
42301 Cherry Hill Rd Ste D
Canton, MI 48188-1200
Registry dates
- Enumerated
- 2022-06-22
- Last updated
- 2022-06-27
- Certified
- 2022-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.