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

Professional Denal Alliance of Michigan, LLC

Organization Dentist · NPI 1780186080

Professional Denal Alliance of Michigan, LLC is a Dentist in Southfield, Michigan. Licensed in Michigan. Registered with an NPI since 2018.

Licensed in
MI
In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

19189 W 10 Mile Rd
Southfield, MI 48075-2442
Phone: (248) 996-8756
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2901021424 (MI)

Record details

NPI number1780186080
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Annette Marlow — Credentialing Supervisor · (724) 698-2119
Other names Refresh Dental Southfield - W 10 Mile Rd
NPI enumeratedMarch 2, 2018
Last updated in NPPESMarch 2, 2018
Mailing address11 S Mill St Ste 200, New Castle, PA 16101-3680

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