Healthcare Provider Details

I. General information

NPI: 1306768155
Provider Name (Legal Business Name): 110 DENTAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2026
Last Update Date: 07/25/2026
Certification Date: 07/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27676 CHERRY HILL RD
GARDEN CITY MI
48135-3184
US

IV. Provider business mailing address

8755 LINDSEY LN
CANTON MI
48187-4947
US

V. Phone/Fax

Practice location:
  • Phone: 734-882-8044
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: ALI SYED
Title or Position: DENTIST
Credential:
Phone: 734-882-8044