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

Livernois Dental Care PLLC

Organization Dental Clinic/Center · NPI 1619533171

Livernois Dental Care PLLC is a Dental Clinic/Center in Detroit, Michigan. Registered with an NPI since 2019.

In the registry since
2019
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

17170 Livernois Ave
Detroit, MI 48221-3028
Phone: (313) 340-9709
Fax: (313) 397-9245
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1619533171
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Chiselom — Office Manager · (313) 977-0255
NPI enumeratedMay 10, 2019
Last updated in NPPESMay 10, 2019
Mailing address17170 Livernois Ave, Detroit, MI 48221-3028

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