Professional Dental Alliance of Michigan, LLC
NPI 1629440581ActiveOrganization· Dentist· Roseville, MI
Dentist in Roseville, Michigan, registered in NPPES in October 2015. The authorized official on file is Shakib Halabu, Dentist.
Overview
| NPI | 1629440581 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 30, 2015 |
| Last updated in NPPES | Oct 30, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 2901011201 | MI |
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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