OrganizationActive
Square Lake Family Dentistry
NPI 1558442202 · General Practice Dentistry · Troy, MI
Square Lake Family Dentistry is a General Practice Dentistry organization in Troy, MI (NPI 1558442202).
Provider details
- NPI number
- 1558442202
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Pritida Patel, Secretary(248) 879-5858
- License
- 2901015929 (MI)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
6053 Rochester Rd
Troy, MI 48085-1303
Phone: (248) 879-5858
Fax: (248) 879-3578
Street-level locationGet directions
Mailing address
6053 Rochester Rd
Troy, MI 48085-1303
Registry dates
- Enumerated
- 2006-10-18
- Last updated
- 2008-01-31
Frequently asked questions
- What is Square Lake Family Dentistry's NPI number?
- Square Lake Family Dentistry's National Provider Identifier (NPI) is 1558442202, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Square Lake Family Dentistry?
- Square Lake Family Dentistry is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Square Lake Family Dentistry located?
- Square Lake Family Dentistry's practice location on file with NPPES is 6053 Rochester Rd, Troy, MI 48085-1303.
- What is Square Lake Family Dentistry's phone number?
- The practice phone number listed in the NPPES registry for Square Lake Family Dentistry is (248) 879-5858.
- Who is the authorized official for Square Lake Family Dentistry?
- The authorized official listed on Square Lake Family Dentistry's NPPES record is Pritida Patel, Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Square Lake Family Dentistry's NPI active?
- Yes — Square Lake Family Dentistry's NPI (1558442202) is active in the NPPES registry as of the last update on 2008-01-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.