Organization
LP DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCIO PERSICHETTI DDS (OWNER/DENTIST)
(586) 907-6537
Entity
Organization
Contact information
Practice address
50202 SCHOENHERR RD, SHELBY TOWNSHIP, MI 48315-3134
(586) 226-2700
Mailing address
16267 ADELAIDE DR, MACOMB, MI 48044-1557
(586) 907-6537
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/06/2026
Last updated
02/06/2026
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