Individual provider Active NPI

Lonnita Louise Cleary, D.D.S.

  • General Practice Dentistry
  • Southfield, MI
National Provider Identifier
1104345958
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901022495 Issued in MI
Practice address
16800 W 12 Mile Rd Ste 103
Southfield, MI 48076-6335
Phone
(248) 443-5371
NPI assigned
Sep 13, 2017
Last updated
Aug 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901022495 MI Primary

Addresses

Primary practice location

16800 W 12 Mile Rd Ste 103
Southfield, MI 48076-6335

Mailing address

6231 N Canton Center Rd Ste 103
Canton, MI 48187-2692
Phone (734) 619-8878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alex T Gould DMD PLC General Practice CurrentSince Feb 1, 2020 Accepting new patients
Big Rapids Family Dental PLC General Practice CurrentSince Apr 30, 2023 Accepting new patients
Cleary Family Dentistry General Practice Past Accepting new patients
Udai PLLC PastSince Mar 19, 2023 Accepting new patients

Locations

201 S Michigan Ave
Big Rapids, MI 49307
Phone (231) 796-4747

4909 N Park St
Reed City, MI 49677
Phone (231) 832-9912

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1104345958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6231 N CANTON CENTER RD STE 103",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872692",
            "telephone_number": "734-619-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16800 W 12 MILE RD STE 103",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480766335",
            "telephone_number": "248-443-5371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEARY",
        "first_name": "LONNITA",
        "middle_name": "LOUISE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-13",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901022495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.