IndividualActive
Angelique Thomas, DDS
NPI 1619539210 · Orthodontics and Dentofacial Orthopedics Dentistry · Southfield, MI
Provider details
- NPI number
- 1619539210
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- 2901022862 (MI)
Specialties & taxonomies
Dental Providers
Practice location
18860 W 10 Mile Rd
Southfield, MI 48075-2666
Phone: (248) 565-3331
Approximate (ZIP-level) locationGet directions
Mailing address
29930 Hyacinth Dr
Southfield, MI 48076-2086
Additional practice locations (1)
- 22524 Greater Mack AveSaint Clair Shores, MI 48080-2042Phone: (586) 800-4769
Registry dates
- Enumerated
- 2019-07-03
- Last updated
- 2026-01-21
- Certified
- 2026-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.