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

Southgate Family Dental

Organization Dental Clinic/Center · NPI 1124646781

Southgate Family Dental is a Dental Clinic/Center in Southgate, Michigan. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

15185 Allen Rd
Southgate, MI 48195-2921
Phone: (734) 324-2000
Fax: (734) 324-2092
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1124646781
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Chamberlain — Office Manager · (734) 324-2000
NPI enumeratedJuly 10, 2020
Last updated in NPPESJuly 13, 2020
Certification dateJuly 13, 2020
Mailing address15185 Allen Rd, Southgate, MI 48195-2921

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