Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Provident Dentistry

Organization Dentist · NPI 1407887656

Provident Dentistry provides Dentist services 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 Not confirmed with CMS for 18 years — call before visiting
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

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