Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Awesome Dental

Organization Dentist · NPI 1912400128

Awesome Dental is a Dentist in Livonia, Michigan. Licensed in Michigan. Registered with an NPI since 2018.

Licensed in
MI
In the registry since
2018

Practice location Address checks out

36000 Five Mile Rd
Livonia, MI 48154-1918
Phone: (734) 464-3430
Fax: (734) 464-6206
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 13751 (MI)

Record details

NPI number1912400128
Entity typeOrganization (Type 2)
Organization subpartYes
Authorized official Mark Halboth — Dds · (734) 464-3430
NPI enumeratedMarch 14, 2018
Last updated in NPPESMarch 14, 2018
Mailing address36000 Five Mile Rd, Livonia, MI 48154-1918

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