OrganizationActive
Detroit Dental Spa PLLC
NPI 1366155202 · Dental Clinic/Center · Detroit, MI
Detroit Dental Spa PLLC is a Dental Clinic/Center organization in Detroit, MI (NPI 1366155202).
Provider details
- NPI number
- 1366155202
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ban Nacy, Owner/Dentist(832) 419-7998
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
2130 Trumbull St
Detroit, MI 48216-1344
Phone: (832) 419-7998
Street-level locationGet directions
Mailing address
1117 Griswold St Unit 1414
Detroit, MI 48226-1936
Other names (DBA / former)
- Doing business as
- Detroit Dental Spa
- Doing business as
- Detroit Dental Spa
Registry dates
- Enumerated
- 2023-01-05
- Last updated
- 2023-03-15
- Certified
- 2023-03-15
Frequently asked questions
- What is Detroit Dental Spa PLLC's NPI number?
- Detroit Dental Spa PLLC's National Provider Identifier (NPI) is 1366155202, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Detroit Dental Spa PLLC?
- Detroit Dental Spa PLLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Detroit Dental Spa PLLC located?
- Detroit Dental Spa PLLC's practice location on file with NPPES is 2130 Trumbull St, Detroit, MI 48216-1344.
- What is Detroit Dental Spa PLLC's phone number?
- The practice phone number listed in the NPPES registry for Detroit Dental Spa PLLC is (832) 419-7998.
- Who is the authorized official for Detroit Dental Spa PLLC?
- The authorized official listed on Detroit Dental Spa PLLC's NPPES record is Ban Nacy, Owner/Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Detroit Dental Spa PLLC's NPI active?
- Yes — Detroit Dental Spa PLLC's NPI (1366155202) is active in the NPPES registry as of the last update on 2023-03-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.