Organization Active NPI

Oakland Lapeer Dental Group PLLC

  • Pediatric Dentistry
  • Lake Orion, MI
National Provider Identifier
1285538967
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
OAKLAND LAPEER DENTAL GROUP PLLC
Practice address
610 N Lapeer Rd
Lake Orion, MI 48362-1527
Phone
(832) 314-1819
NPI assigned
Oct 6, 2026
Last updated
Oct 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Authorized official

Name
Phorum DesaiNPI 1497324420
Title
Managing Member
Phone
(832) 314-1819

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X NU Primary

Addresses

Primary practice location

610 N Lapeer Rd
Lake Orion, MI 48362-1527

Mailing address

2392 Partridge Dr
Shelby Township, MI 48317-2798

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1791244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791244800000",
    "number": "1285538967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2392 PARTRIDGE DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483172798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N LAPEER RD",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483621527",
            "telephone_number": "832-314-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND LAPEER DENTAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-06",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "PHORUM",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "832-314-1819"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Orion, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.