OrganizationActive
Professional Dental Alliance of Michigan, LLC
NPI 1942740337 · Dentist · Center Line, MI
Provider details
- NPI number
- 1942740337
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Maria Jones, Credentialing Specialist(724) 698-2132
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
23845 Van Dyke Ave
Center Line, MI 48015-1300
Phone: (586) 467-0063
Street-level locationGet directions
Mailing address
11 S Mill St
New Castle, PA 16101-3613
Other names (DBA / former)
- Doing business as
- Refresh Dental Center Line
Registry dates
- Enumerated
- 2017-03-03
- Last updated
- 2017-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.