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

Professional Dental Alliance of Michigan, LLC

Organization Dentist · NPI 1912389842

Professional Dental Alliance of Michigan, LLC is a Dentist in Hazel Park, Michigan. Licensed in Michigan. Registered with an NPI since 2015.

Licensed in
MI
In the registry since
2015
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

23528 John R Rd
Hazel Park, MI 48030-1409
Phone: (248) 397-1165
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2901011201 (MI)

Record details

NPI number1912389842
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shakib Halabu — Dentist · (248) 397-1165
Other names Dental Care Of Michigan, Hazel Park
NPI enumeratedJune 27, 2015
Last updated in NPPESJune 27, 2015
Mailing address23528 John R Rd, Hazel Park, MI 48030-1409

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