Healthcare Provider Details

I. General information

NPI: 1528996808
Provider Name (Legal Business Name): AOS DENTAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

424 E MONROE ST
DUNDEE MI
48131-1380
US

IV. Provider business mailing address

424 E MONROE ST
DUNDEE MI
48131-1380
US

V. Phone/Fax

Practice location:
  • Phone: 734-529-3031
  • Fax: 734-529-5827
Mailing address:
  • Phone: 734-529-3031
  • Fax: 734-529-5827

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: LINDSAY RAY
Title or Position: OFFICE MANAGER
Credential:
Phone: 734-529-3031