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

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: August 16, 2026.

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
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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

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.

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 9 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.