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

Supreme Dental of Plymouth Road PC

Organization Dentist · NPI 1649693102

Supreme Dental of Plymouth Road PC is a Dentist in Detroit, Michigan. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

20720 Plymouth Rd
Detroit, MI 48228-1275
Phone: (313) 342-1997
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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 number1649693102
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michele Bloxson — President · (313) 416-6806
NPI enumeratedFebruary 3, 2014
Last updated in NPPESFebruary 3, 2014
Mailing address27201 Ryan Rd, Warren, MI 48092-5127

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