OrganizationActive
Novi Dermatology PLLC
NPI 1245751007 · Dermatology Physician · Novi, MI
Provider details
- NPI number
- 1245751007
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Alice Watson, Delegated Official(248) 946-4787
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
44000 W 12 Mile Rd Ste 103
Novi, MI 48377
Phone: (248) 946-4787
Fax: (248) 716-5956
Street-level locationGet directions
Mailing address
44000 W 12 Mile Rd Ste 103
Novi, MI 48377-2646
Registry dates
- Enumerated
- 2017-07-03
- Last updated
- 2021-06-14
- Certified
- 2021-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.