OrganizationActive
Professional Denal Alliance of Michigan,llc
NPI 1780186080 · Dentist · Southfield, MI
Professional Denal Alliance of Michigan,llc is a Dentist organization in Southfield, MI (NPI 1780186080).
Provider details
- NPI number
- 1780186080
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Annette Marlow, Credentialing Supervisor(724) 698-2119
- License
- 2901021424 (MI)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
19189 W 10 Mile Rd
Southfield, MI 48075-2442
Phone: (248) 996-8756
Street-level locationGet directions
Mailing address
11 S Mill St Ste 200
New Castle, PA 16101-3680
Other names (DBA / former)
- Doing business as
- Refresh Dental Southfield - W 10 Mile Rd
Registry dates
- Enumerated
- 2018-03-02
- Last updated
- 2018-03-02
Frequently asked questions
- What is Professional Denal Alliance of Michigan,llc's NPI number?
- Professional Denal Alliance of Michigan,llc's National Provider Identifier (NPI) is 1780186080, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Professional Denal Alliance of Michigan,llc?
- Professional Denal Alliance of Michigan,llc is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Professional Denal Alliance of Michigan,llc located?
- Professional Denal Alliance of Michigan,llc's practice location on file with NPPES is 19189 W 10 Mile Rd, Southfield, MI 48075-2442.
- What is Professional Denal Alliance of Michigan,llc's phone number?
- The practice phone number listed in the NPPES registry for Professional Denal Alliance of Michigan,llc is (248) 996-8756.
- Who is the authorized official for Professional Denal Alliance of Michigan,llc?
- The authorized official listed on Professional Denal Alliance of Michigan,llc's NPPES record is Annette Marlow, Credentialing Supervisor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Professional Denal Alliance of Michigan,llc's NPI active?
- Yes — Professional Denal Alliance of Michigan,llc's NPI (1780186080) is active in the NPPES registry as of the last update on 2018-03-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.