Healthcare Provider Details

I. General information

NPI: 1063307635
Provider Name (Legal Business Name): VILLAGE FAMILY DENTISTRY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2025
Last Update Date: 06/12/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27900 NEW MARKET RD
FARMINGTON HILLS MI
48334-3333
US

IV. Provider business mailing address

27900 NEW MARKET RD
FARMINGTON HILLS MI
48334-3333
US

V. Phone/Fax

Practice location:
  • Phone: 248-553-3773
  • Fax: 248-553-2160
Mailing address:
  • Phone: 248-553-3773
  • Fax: 248-553-2160

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. AAKASH SHAH
Title or Position: OWNER
Credential: DDS
Phone: 248-553-3773