Southfield Family Dental Center PLLC
NPI 1639812050ActiveOrganization· Dentist, General Practice· Southfield, MI
Dentist, General Practice in Southfield, Michigan, registered in NPPES in April 2022. The authorized official on file is Chad Hendricks, Credentialing.
Overview
| NPI | 1639812050 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 14, 2022 |
| Last updated in NPPES | Apr 14, 2022 |
| Certified by provider | Apr 14, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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