Active NPI
South Lyon Pediatric Dentistry PLLC
- Pediatric Dentistry
- South Lyon, MI
National Provider Identifier
1912814765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- SOUTH LYON PEDIATRIC DENTISTRY PLLC
- Practice address
- 26808 Pontiac Trail
South Lyon, MI 48178 - Phone
- (857) 272-2572
- NPI assigned
- Aug 26, 2026
- 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
- Dr. Maria Al Ismail, DDS
- Title
- Managing Member
- Phone
- (734) 926-8428
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | Primary |
Addresses
Primary practice location
26808 Pontiac Trail
South Lyon, MI 48178
Mailing address
51019 Silverton
Canton, MI 48187-7719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787702400000",
"number": "1912814765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51019 SILVERTON",
"city": "CANTON",
"state": "MI",
"postal_code": "481877719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26808 PONTIAC TRAIL",
"city": "SOUTH LYON",
"state": "MI",
"postal_code": "48178",
"telephone_number": "857-272-2572"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH LYON PEDIATRIC DENTISTRY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-26",
"last_updated": "2026-08-26",
"certification_date": "2026-08-23",
"status": "A",
"authorized_official_last_name": "AL ISMAIL",
"authorized_official_first_name": "MARIA",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "734-926-8428",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Lyon, MI
- South Lyon Dermatology, PC
- South Lyon Family Docs PC
- South Lyon Family Physicians, PLLC
- South Lyon Foot & Ankle Specialists, P.C.
- South Lyon Orthodontics, PC
- South Lyon Pharmacy LLC
- South Lyon Senior Care and Rehab Center, LLC
- Specialty Medicine Compounding Pharmacy
- Madeline Spencer, LLPC
- Spine and Extremity Institute of South Lyon, L.L.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.