Provider Demographics
NPI:1811780364
Name:ROCHESTER HILLS DENTAL PLLC
Entity type:Organization
Organization Name:ROCHESTER HILLS DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALVIN
Authorized Official - Middle Name:YOUSIF
Authorized Official - Last Name:DABOUL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-866-2828
Mailing Address - Street 1:3213 ROCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48073-3553
Mailing Address - Country:US
Mailing Address - Phone:248-629-1830
Mailing Address - Fax:
Practice Address - Street 1:455 S LIVERNOIS RD STE B12
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-2580
Practice Address - Country:US
Practice Address - Phone:248-652-7300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-27
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental