Immaculate Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

IMMACULATE DENTAL PLLC

Practice address

4060 Haggerty Rd
Commerce Township, MI 48390-1313

Phone

(248) 363-0480

NPI assigned

Aug 22, 2026

Last updated

Aug 22, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Leena Atisha, DDS

Title

Sole Member

Phone

(248) 312-8255

Specialties & licenses 1

Addresses

Locations

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.

• Robert David Uhrin, ROBERT UHRIN

  • Dentist
  • Commerce Township, MI
  • NPI 1851503759
  NPD (past)

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

{
    "created_epoch": "1787356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787356800000",
    "number": "1639085277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34078 GLOUSTER CIR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483314700",
            "telephone_number": "248-312-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 HAGGERTY RD",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483901313",
            "telephone_number": "248-363-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMACULATE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-22",
        "last_updated": "2026-08-22",
        "certification_date": "2026-08-22",
        "status": "A",
        "authorized_official_last_name": "ATISHA",
        "authorized_official_first_name": "LEENA",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "248-312-8255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Huron Valley Sinai Hospital
• Manha Shaukat Iftikhar, DDS
• Iha Ooma Primary LLC (THIMG Primary Care-Union Lake)
• Iha Ooma Primary LLC (IHA Union Lake Pediatrics)
• Stephanie Lynn Illian, PA-C
• Philip R Ison, NP
• Thomas Jacob, MD
• Erum S Jafry, DPM
• Morgan Elaine Jagiela
• Gabriela Noelani Jammoa

• General Practice Dentistry in Commerce Township, MI
• Providers in Commerce Township, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2026; 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.