Deluxe Dental Associates 6 Southfield PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DELUXE DENTAL ASSOCIATES 6 SOUTHFIELD PLLC

Doing business as

Deluxe Dental

Practice address

19931 W 12 Mile Rd Ste L28
Southfield, MI 48076-2591

Phone

(810) 820-7766

Fax

(810) 243-0454

NPI assigned

Dec 3, 2021

Organization subpart

No

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

Authorized official

Name

Amber Kizy

Title

Owner

Phone

(810) 820-7766

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Deluxe Dental Doing business as

Locations

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

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1265190540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19931 W 12 MILE RD STE L28",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762591",
            "telephone_number": "810-820-7766",
            "fax_number": "810-243-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19931 W 12 MILE RD STE L28",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762591",
            "telephone_number": "810-820-7766",
            "fax_number": "810-243-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELUXE DENTAL ASSOCIATES 6 SOUTHFIELD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-03",
        "last_updated": "2025-09-11",
        "certification_date": "2022-01-17",
        "status": "A",
        "authorized_official_last_name": "KIZY",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-820-7766"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376941773",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deluxe Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Myrna S Deleon, MD
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• Que K Deluna, RPH
• Madison Delvaux
• Megan Virginia Demallie
• Frances Claire Demattia, DO
• Carolyn Marie Demetriou, RN
• Nycol Deming

• Dental Clinic/Center in Southfield, MI
• Providers in Southfield, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.