Professional Dental Alliance of Michigan, LLC
NPI 1245589563ActiveOrganization· Dentist· Saint Clair Shores, MI
Dentist in Saint Clair Shores, Michigan, registered in NPPES in August 2012. The authorized official on file is Shams Hamama, Office Manager.
Overview
| NPI | 1245589563 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 31, 2012 |
| Last updated in NPPES | Oct 19, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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