Organization Active NPI

Family Dental Center of Livonia, P.L.C.

  • Dental Hygienist
  • Livonia, MI
National Provider Identifier
1316048077
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
2902006805 Issued in MI
Legal business name
FAMILY DENTAL CENTER OF LIVONIA, P.L.C.
Practice address
28701 Plymouth Road
Livonia, MI 48150-2335
Phone
(734) 427-9300
Fax
(734) 427-1200
NPI assigned
Sep 26, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mrs. Faith Tobin Jacobson, DDS
Title
Dentist
Phone
(734) 427-9300

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901016783 MI
Dentist 122300000X 2901017710 MI
Dentist 122300000X 2901018923 MI
Dental Hygienist 124Q00000X 2902006805 MI Primary

Addresses

Primary practice location

28701 Plymouth Road
Livonia, MI 48150-2335

Mailing address

28701 Plymouth Road
Livonia, MI 48150-2335
Phone (734) 427-9300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1316048077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28701 PLYMOUTH ROAD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481502335",
            "telephone_number": "734-427-9300",
            "fax_number": "734-427-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28701 PLYMOUTH ROAD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481502335",
            "telephone_number": "734-427-9300",
            "fax_number": "734-427-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTAL CENTER OF LIVONIA, P.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "FAITH",
        "authorized_official_middle_name": "TOBIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "734-427-9300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901016783",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901017710",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901018923",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MI",
            "license": "2902006805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • 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.