Organization Active NPI

Allenwood Dental PLLC

  • General Practice Dentistry
  • Woodhaven, MI
National Provider Identifier
1104423839
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ALLENWOOD DENTAL PLLC
Practice address
22500 Allen Rd
Woodhaven, MI 48183-2238
Phone
(734) 752-6661
Fax
(734) 752-6319
NPI assigned
Oct 6, 2020
Last updated
Sep 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Authorized official

Name
Marlen Garcia
Title
Manager
Phone
(313) 674-0199

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

22500 Allen Rd
Woodhaven, MI 48183-2238

Mailing address

22500 Allen Rd
Woodhaven, MI 48183-2238
Phone (734) 752-6661

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1104423839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22500 ALLEN RD",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481832238",
            "telephone_number": "734-752-6661",
            "fax_number": "734-752-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22500 ALLEN RD",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481832238",
            "telephone_number": "734-752-6661",
            "fax_number": "734-752-6319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLENWOOD DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-06",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "MARLEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "313-674-0199"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodhaven, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.