OrganizationActive
Extra Dental PC
NPI 1598400293 · Dental Clinic/Center · Shelby Township, MI
Provider details
- NPI number
- 1598400293
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lina Yaseen, Dentist/Owner(847) 794-3355
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
8170 23 Mile Rd
Shelby Township, MI 48316-4502
Phone: (847) 794-3355
Street-level locationGet directions
Mailing address
8170 23 Mile Rd
Shelby Township, MI 48316-4502
Registry dates
- Enumerated
- 2022-04-28
- Last updated
- 2022-04-28
- Certified
- 2022-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.