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

East Lake Dental PLLC

Organization General Practice Dentistry · NPI 1104401645

East Lake Dental PLLC is a General Practice Dentistry in South Lyon, Michigan. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

201 S Lafayette St
South Lyon, MI 48178-1405
Phone: (248) 437-4119
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1104401645
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Jenkins — Owner Dentist · (248) 321-9485
NPI enumeratedMarch 16, 2021
Last updated in NPPESMarch 16, 2021
Certification dateMarch 12, 2021
Mailing address3542 Oakshire Ave, Berkley, MI 48072-3411

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