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

Main Street Dermatology, PLLC

Organization Dermatology Physician · NPI 1881371946

Main Street Dermatology, PLLC is a Dermatology Physician in Clarkston, Michigan. Registered with an NPI since 2023.

In the registry since
2023
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

5885 S Main St Ste 1
Clarkston, MI 48346-2981
Phone: (248) 238-8059
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1881371946
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenzie Gardner — Nurse Practitioner, Operator · (614) 507-3765
NPI enumeratedJune 30, 2023
Last updated in NPPESAugust 3, 2023
Certification dateAugust 3, 2023
Mailing address5885 S Main St Ste 1, Clarkston, MI 48346-2981

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