Healthcare Provider Details

I. General information

NPI: 1639296585
Provider Name (Legal Business Name): MICHAEL TODD VALENTINE D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2007
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 BARNUM ST
DUNDEE MI
48131-1110
US

IV. Provider business mailing address

759 N MONROE ST
MONROE MI
48162-2936
US

V. Phone/Fax

Practice location:
  • Phone: 734-244-9011
  • Fax:
Mailing address:
  • Phone: 734-241-1144
  • Fax: 734-241-6455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number2901017458
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: