OrganizationActive
Super Dental of Livernois Ave, PC
NPI 1538509633 · Dentist · Detroit, MI
Super Dental of Livernois Ave, PC is a Dentist organization in Detroit, MI (NPI 1538509633).
Provider details
- NPI number
- 1538509633
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Pamela Hyde, Office Manager(248) 418-1021
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
15510 Livernois Ave
Detroit, MI 48238-1343
Phone: (313) 863-2800
Street-level locationGet directions
Mailing address
15510 Livernois Ave
Detroit, MI 48238-1343
Registry dates
- Enumerated
- 2013-07-03
- Last updated
- 2013-07-03
Frequently asked questions
- What is Super Dental of Livernois Ave, PC's NPI number?
- Super Dental of Livernois Ave, PC's National Provider Identifier (NPI) is 1538509633, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Super Dental of Livernois Ave, PC?
- Super Dental of Livernois Ave, PC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Super Dental of Livernois Ave, PC located?
- Super Dental of Livernois Ave, PC's practice location on file with NPPES is 15510 Livernois Ave, Detroit, MI 48238-1343.
- What is Super Dental of Livernois Ave, PC's phone number?
- The practice phone number listed in the NPPES registry for Super Dental of Livernois Ave, PC is (313) 863-2800.
- Who is the authorized official for Super Dental of Livernois Ave, PC?
- The authorized official listed on Super Dental of Livernois Ave, PC's NPPES record is Pamela Hyde, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Super Dental of Livernois Ave, PC's NPI active?
- Yes — Super Dental of Livernois Ave, PC's NPI (1538509633) is active in the NPPES registry as of the last update on 2013-07-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.