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Organization

Dental Rehab PC

NPI Record: ActiveDentist — Prosthodontics
NPI1194993428
Southfield, Michigan

Provider's NPPES record last updated: June 24, 2020

Overview

Entity Type
Organization
NPI
1194993428
Primary Specialty
Dentist — Prosthodontics
Practice Location
Southfield, Michigan
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 12:42 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Dentist

    Prosthodontics

    Dental Providers

    Primary

    That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

    Taxonomy code 1223P0700X

Provider-Reported License Information

Dentist (Michigan)
2901017395
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

26699 W 12 Mile Rd Ste 200

Southfield, Michigan 48034-7815

Phone: (248) 626-6526

Additional Practice Location

32901 W 13 Mile Rd Ste B200

Farmington Hills, Michigan 48334

Phone: (248) 872-5837

Fax: (248) 626-6529

Other Names

  • Dental Rehabilitation CenterReported February 20, 2008
  • Dental Rehabilitation CenterReported July 31, 2018

Record Information

Enumeration Date
February 20, 2008
Provider's NPPES Record Last Updated
June 24, 2020
Certification Date
June 24, 2020
NPISignal NPPES Dataset
August 2026

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