OrganizationActive
Southgate Family Dental
NPI 1124646781 · Dental Clinic/Center · Southgate, MI
Southgate Family Dental is a Dental Clinic/Center organization in Southgate, MI (NPI 1124646781).
Provider details
- NPI number
- 1124646781
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lisa Chamberlain, Office Manager(734) 324-2000
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
15185 Allen Rd
Southgate, MI 48195-2921
Phone: (734) 324-2000
Fax: (734) 324-2092
Street-level locationGet directions
Mailing address
15185 Allen Rd
Southgate, MI 48195-2921
Registry dates
- Enumerated
- 2020-07-10
- Last updated
- 2020-07-13
- Certified
- 2020-07-13
Frequently asked questions
- What is Southgate Family Dental's NPI number?
- Southgate Family Dental's National Provider Identifier (NPI) is 1124646781, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southgate Family Dental?
- Southgate Family Dental is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Southgate Family Dental located?
- Southgate Family Dental's practice location on file with NPPES is 15185 Allen Rd, Southgate, MI 48195-2921.
- What is Southgate Family Dental's phone number?
- The practice phone number listed in the NPPES registry for Southgate Family Dental is (734) 324-2000.
- Who is the authorized official for Southgate Family Dental?
- The authorized official listed on Southgate Family Dental's NPPES record is Lisa Chamberlain, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southgate Family Dental's NPI active?
- Yes — Southgate Family Dental's NPI (1124646781) is active in the NPPES registry as of the last update on 2020-07-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.