OrganizationActive
Supreme Dental of Plymouth Road PC
NPI 1649693102 · Dentist · Detroit, MI
Supreme Dental of Plymouth Road PC is a Dentist organization in Detroit, MI (NPI 1649693102).
Provider details
- NPI number
- 1649693102
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Michele Bloxson, President(313) 416-6806
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(76/100 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
20720 Plymouth Rd
Detroit, MI 48228-1275
Phone: (313) 342-1997
Street-level locationGet directions
Mailing address
27201 Ryan Rd
Warren, MI 48092-5127
Registry dates
- Enumerated
- 2014-02-03
- Last updated
- 2014-02-03
Frequently asked questions
- What is Supreme Dental of Plymouth Road PC's NPI number?
- Supreme Dental of Plymouth Road PC's National Provider Identifier (NPI) is 1649693102, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Supreme Dental of Plymouth Road PC?
- Supreme Dental of Plymouth Road PC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Supreme Dental of Plymouth Road PC located?
- Supreme Dental of Plymouth Road PC's practice location on file with NPPES is 20720 Plymouth Rd, Detroit, MI 48228-1275.
- What is Supreme Dental of Plymouth Road PC's phone number?
- The practice phone number listed in the NPPES registry for Supreme Dental of Plymouth Road PC is (313) 342-1997.
- Who is the authorized official for Supreme Dental of Plymouth Road PC?
- The authorized official listed on Supreme Dental of Plymouth Road PC's NPPES record is Michele Bloxson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Supreme Dental of Plymouth Road PC's NPI active?
- Yes — Supreme Dental of Plymouth Road PC's NPI (1649693102) is active in the NPPES registry as of the last update on 2014-02-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.