EXTRA DENTAL PC NPI 1598400293

NPI Information

  • NPI: 1598400293
  • Provider Name: EXTRA DENTAL PC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 8170 23 MILE RD
    SHELBY TOWNSHIP, MI
    ZIP 48316
  • Phone: (847) 794-3355

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NPI Details

EXTRA DENTAL PC is a dental clinic center in Shelby Township, MI. EXTRA DENTAL PC NPI is 1598400293. The provider is registered as an organization entity type.

The provider's business location address is:

8170 23 MILE RD
SHELBY TOWNSHIP, MI
ZIP 48316-502
Phone: (847) 794-3355

The provider's authorized official is Lina Yaseen .
The authorized official title is Dentist/owner and has the following contact phone number (847) 794-3355.

The enumeration date for this NPI number is 4/28/2022 and was last updated on 4/28/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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