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

Individual provider General Practice Dentistry · NPI 1104008523

Dr. Michael Ly, DMD is a General Practice Dentistry in Pasadena, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

255 N Rosemead Blvd
Pasadena, CA 91107-3102
Phone: (626) 731-8520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 56446 (CA)

Record details

NPI number1104008523
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedNovember 27, 2007
Last updated in NPPESAugust 5, 2008
Mailing address455 N Los Robles Ave, Pasadena, CA 91101-1301

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