# ADVANCED DENTAL CENTER, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083638753
- **Authorized official:** DR. AAKASH SHAH DDS (OWNER/DENTIST)
- **Authorized official phone:** (313) 382-4880

## Contact information

- **Practice address:** 3611 FORT ST, LINCOLN PARK, MI 48146-4103
- **Practice address phone:** (313) 382-4880
- **Practice address fax:** (313) 382-0368
- **Mailing address:** 3611 FORT ST, LINCOLN PARK, MI 48146-4103
- **Mailing address phone:** (313) 382-4880
- **Mailing address fax:** (313) 382-0368

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 07/27/2006
- **Last updated:** 12/12/2022