OrganizationActive
Professional Dental Alliance of Michigan,llc
NPI 1164771481 · Dentist · Warren, MI
Professional Dental Alliance of Michigan,llc is a Dentist organization in Warren, MI (NPI 1164771481).
Provider details
- NPI number
- 1164771481
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Shams Hamama, Regional Manager(586) 573-7500
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
11552 E 12 Mile Rd
Warren, MI 48093-2644
Phone: (586) 573-7500
Street-level locationGet directions
Mailing address
11 S Mill St
New Castle, PA 16101-3613
Other names (DBA / former)
- Doing business as
- Refresh Dental Warren - E. 12 Mile Rd
- Doing business as
- Refresh Dental Warren - E. 12 Mile Rd
Registry dates
- Enumerated
- 2012-08-31
- Last updated
- 2018-04-19
Frequently asked questions
- What is Professional Dental Alliance of Michigan,llc's NPI number?
- Professional Dental Alliance of Michigan,llc's National Provider Identifier (NPI) is 1164771481, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Professional Dental Alliance of Michigan,llc?
- Professional Dental Alliance of Michigan,llc is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Professional Dental Alliance of Michigan,llc located?
- Professional Dental Alliance of Michigan,llc's practice location on file with NPPES is 11552 E 12 Mile Rd, Warren, MI 48093-2644.
- What is Professional Dental Alliance of Michigan,llc's phone number?
- The practice phone number listed in the NPPES registry for Professional Dental Alliance of Michigan,llc is (586) 573-7500.
- Who is the authorized official for Professional Dental Alliance of Michigan,llc?
- The authorized official listed on Professional Dental Alliance of Michigan,llc's NPPES record is Shams Hamama, Regional Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Professional Dental Alliance of Michigan,llc's NPI active?
- Yes — Professional Dental Alliance of Michigan,llc's NPI (1164771481) is active in the NPPES registry as of the last update on 2018-04-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.