KIDS TOOTH TEAM FENTON PPLC
NPI 1073473237
Dentist - Pediatric Dentistry in Fenton, MI

Q: What is Kids Tooth Team Fenton Pplc's NPI number?

The NPI number for Kids Tooth Team Fenton Pplc is 1073473237. It was assigned to this organization in the NPPES registry on November 12, 2025.

Q: What is Kids Tooth Team Fenton Pplc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since November 12, 2025

1110 N LEROY ST, FENTON, MI 48430(248) 422-0555 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Kids Tooth Team Fenton Pplc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIDS TOOTH TEAM FENTON PPLC (NPI 1073473237) is a healthcare organization registered as a pediatric dentistry in Fenton, Michigan and active in the NPI registry since November 2025. The organization lists Kasey Marie Stark, Pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1073473237

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameKIDS TOOTH TEAM FENTON PPLC

Location Address1110 N LEROY STFenton, MI 48430-2758

Mailing Address1110 N Leroy StFenton, MI 48430-2758 · (248) 422-0555

Phone(248) 422-0555

Organization SubpartNo

Authorized OfficialKasey Marie StarkPediatric Dentist · (248) 422-0555

Enumeration DateNovember 12, 2025

NPPES CertifiedNovember 12, 2025

✔ NPI 1073473237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

1110 N LEROY ST, Fenton, MI 48430

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kids Tooth Team Fenton Pplc's NPI number?

The NPI number for Kids Tooth Team Fenton Pplc is 1073473237. It was assigned to this organization in the NPPES registry on November 12, 2025.

Where is Kids Tooth Team Fenton Pplc located?

Kids Tooth Team Fenton Pplc is located at 1110 N Leroy St, Fenton, MI 48430. The listed phone number is (248) 422-0555.

What is Kids Tooth Team Fenton Pplc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Kids Tooth Team Fenton Pplc accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Kids Tooth Team Fenton Pplc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kids Tooth Team Fenton Pplc was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.