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

Provident Dentistry

Organization Dentist · NPI 1407887656

Provident Dentistry is a Dentist in Novi, Michigan. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

40105 Grand River Ave Ste 1
Novi, MI 48375-2170
Phone: (248) 471-0345
Fax: (248) 471-0671
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1407887656
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alan Kessler — Secretary · (248) 471-0345
NPI enumeratedJuly 5, 2006
Last updated in NPPESJuly 23, 2008
Mailing address40105 Grand River Ave, Suite 1, Novi, MI 48375-2170

Other providers in Novi