Healthcare Provider Details

I. General information

NPI: 1801707526
Provider Name (Legal Business Name): EAT SLEEP BREATHE DENTISTRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14325 MIDDLEBELT RD
LIVONIA MI
48154-4541
US

IV. Provider business mailing address

2222 W GRAND RIVER AVE STE A
OKEMOS MI
48864-1604
US

V. Phone/Fax

Practice location:
  • Phone: 734-427-9222
  • Fax: 734-427-6316
Mailing address:
  • Phone: 248-247-2033
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DR. AMIT SHAH
Title or Position: MANAGING MEMBER
Credential: BDS, DDS, MS
Phone: 248-491-8486