Organization Active NPI

K-12 Mobile Dental Express LLC

  • General Practice Dentistry
  • Canton, MI
National Provider Identifier
1457215204
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
K-12 MOBILE DENTAL EXPRESS LLC
Practice address
519 Pinehurst Dr
Canton, MI 48188-3078
Phone
(734) 351-3200
NPI assigned
Dec 15, 2025
Last updated
Dec 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Authorized official

Name
Sterling Cheeks
Title
Ceo
Phone
(734) 351-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

519 Pinehurst Dr
Canton, MI 48188-3078

Mailing address

519 Pinehurst Dr
Canton, MI 48188-3078
Phone (734) 351-3200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1765756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1457215204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 PINEHURST DR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481883078",
            "telephone_number": "734-351-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 PINEHURST DR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481883078",
            "telephone_number": "734-351-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K-12 MOBILE DENTAL EXPRESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-15",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "CHEEKS",
        "authorized_official_first_name": "STERLING",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "734-351-3200"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.