OrganizationActive
Redwood Dental Group
NPI 1164893392 · General Practice Dentistry · Canton, MI
Redwood Dental Group is a General Practice Dentistry organization in Canton, MI (NPI 1164893392).
Provider details
- NPI number
- 1164893392
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Mark Bouchillon, President(586) 979-2800
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
6511 N Canton Center Rd
Canton, MI 48187-1653
Phone: (248) 577-5188
Street-level locationGet directions
Mailing address
255 W 13 Mile Rd
Madison Heights, MI 48071-1868
Registry dates
- Enumerated
- 2015-10-14
- Last updated
- 2015-10-14
Frequently asked questions
- What is Redwood Dental Group's NPI number?
- Redwood Dental Group's National Provider Identifier (NPI) is 1164893392, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Redwood Dental Group?
- Redwood Dental Group is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Redwood Dental Group located?
- Redwood Dental Group's practice location on file with NPPES is 6511 N Canton Center Rd, Canton, MI 48187-1653.
- What is Redwood Dental Group's phone number?
- The practice phone number listed in the NPPES registry for Redwood Dental Group is (248) 577-5188.
- Who is the authorized official for Redwood Dental Group?
- The authorized official listed on Redwood Dental Group's NPPES record is Mark Bouchillon, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Redwood Dental Group's NPI active?
- Yes — Redwood Dental Group's NPI (1164893392) is active in the NPPES registry as of the last update on 2015-10-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.