Professional Dental Alliance of Flat Rock, PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

PROFESSIONAL DENTAL ALLIANCE OF FLAT ROCK, PLLC

Practice address

26500 W Huron River Dr
Flat Rock, MI 48134-1135

Phone

(734) 782-3500

NPI assigned

Oct 25, 2017

Organization subpart

No

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

Authorized official

Name

Erica Quinteros

Title

Credentialing

Phone

(724) 901-1964

Specialties & licenses 1

Addresses

Other names 1

• Flat Rock Dental Center Doing business as

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gavin Kallabat, DMD

  • General Practice Dentistry
  • Flat Rock, MI
  • NPI 1376237388
  NPD (past)
• Francia V Mercedes, DDS

  • General Practice Dentistry
  • Flat Rock, MI
  • NPI 1477527869
  NPD (past)
• Michael R Ramos, D.D.S.

  • General Practice Dentistry
  • Flat Rock, MI
  • NPI 1194733352
  NPD (past)

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1508378969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 ENTERPRISE DR STE 200",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152751223",
            "telephone_number": "724-698-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26500 W HURON RIVER DR",
            "city": "FLAT ROCK",
            "state": "MI",
            "postal_code": "481341135",
            "telephone_number": "734-782-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL DENTAL ALLIANCE OF FLAT ROCK, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-25",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "QUINTEROS",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "724-901-1964"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flat Rock Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Perry Drug Stores Inc and Subsidiaries
• Cara Hope Phillips, D.C.
• Britney N Pickett
• Porter & Clark Chiropractic PLLC
• Michael Joseph Porter II, DC
• Quality Care Plus Services LLC
• Michael R Ramos, D.D.S.
• Relaible Home Care
• Riverbend Pharmacy LLC
• Rooted in Me Counseling and Psychological Services, PLLC

• Dentist in Flat Rock, MI
• Providers in Flat Rock, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.