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

Detroit Livernois PC

Organization Dentist · NPI 1790982270

Detroit Livernois PC is a Dentist in Detroit, Michigan. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15510 Livernois Ave
Detroit, MI 48238-1343
Phone: (313) 863-2800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1790982270
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mike Cole — Insurance Director · (727) 726-1611
NPI enumeratedJune 28, 2007
Last updated in NPPESAugust 22, 2020
Mailing address15510 Livernois Ave, Detroit, MI 48238-1343

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