Active NPI
Detroit Dental Care, PC
- Dentist
- Detroit, MI
National Provider Identifier
1790228476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- DETROIT DENTAL CARE, PC
- Practice address
- 14353 Livernois Ave
Detroit, MI 48238-2557 - Phone
- (313) 863-2800
- NPI assigned
- Nov 29, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Dunford
- Title
- Billing and Credentialing Manager
- Phone
- (313) 651-8041
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
14353 Livernois Ave
Detroit, MI 48238-2557
Mailing address
14353 Livernois Ave
Detroit, MI 48238-2557
Phone (313) 863-2800
National Provider Directory
National Provider DirectoryLocations
14353 Livernois Ave
Detroit, MI 48238
Phone (313) 342-1997
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Periodontics
- Arlington Heights, IL
- NPI 1093473605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480377600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768694400000",
"number": "1790228476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14353 LIVERNOIS AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482382557",
"telephone_number": "313-863-2800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14353 LIVERNOIS AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482382557",
"telephone_number": "313-863-2800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DETROIT DENTAL CARE, PC",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-29",
"last_updated": "2026-01-18",
"certification_date": "2026-01-18",
"status": "A",
"authorized_official_last_name": "DUNFORD",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "BILLING AND CREDENTIALING MANAGER",
"authorized_official_telephone_number": "313-651-8041"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
- Detroit Community Health Connection, Inc
- Detroit Community Health Connection, Inc
- Detroit Community Health Connection, Inc.
- Detroit Community Health Connection, Inc.
- Detroit Compliance Network
- Detroit Dental Center Abd PLLC
- Detroit Dental Center Ama PLLC
- Detroit Dental Center, PC
- Detroit Dental RX PLLC
- Detroit Dental Spa PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.