Healthcare Provider Details

I. General information

NPI: 1275468860
Provider Name (Legal Business Name): PREMIER DENTAL CENTER, PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48950 VAN DYKE AVE
SHELBY TOWNSHIP MI
48317-2567
US

IV. Provider business mailing address

48950 VAN DYKE AVE
SHELBY TOWNSHIP MI
48317-2567
US

V. Phone/Fax

Practice location:
  • Phone: 248-457-0500
  • Fax:
Mailing address:
  • Phone: 248-457-0500
  • Fax:

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: DR. ARA NAZARIAN
Title or Position: OWNER
Credential: D.D.S.
Phone: 586-291-9367