OrganizationActive
Office 5 PLLC
NPI 1407450877 · Public Health Dentistry · South Lyon, MI
Provider details
- NPI number
- 1407450877
- Entity type
- Organization
- Primary specialty
- Public Health DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Randall Shaw, Owner(248) 931-1151
Specialties & taxonomies
Dental Providers
Practice location
201 S Lafayette St
South Lyon, MI 48178-1405
Phone: (248) 437-4119
Approximate (ZIP-level) locationGet directions
Mailing address
350 Pine Ridge Dr
Bloomfield Hills, MI 48304-2139
Other names (DBA / former)
- Doing business as
- South Lyon Dental
Registry dates
- Enumerated
- 2020-11-25
- Last updated
- 2020-11-25
- Certified
- 2020-11-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.