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

Professional Dental Alliance of Michigan, LLC

Organization Dentist · NPI 1164771481

Professional Dental Alliance of Michigan, LLC is a Dentist in Warren, Michigan. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11552 E 12 Mile Rd
Warren, MI 48093-2644
Phone: (586) 573-7500
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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 number1164771481
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shams Hamama — Regional Manager · (586) 573-7500
Other names Refresh Dental Warren - E. 12 Mile Rd; Refresh Dental Warren - E. 12 Mile Rd
NPI enumeratedAugust 31, 2012
Last updated in NPPESApril 19, 2018
Mailing address11 S Mill St, Ste 200, New Castle, PA 16101-3613

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