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SOUTHFIELD KIDS DENTIST PLC
NPI 1093264731
Dentist - Pediatric Dentistry in Southfield, MI

Active since September 22, 2016
18900 W 10 MILE RD, SOUTHFIELD, MI 48075(248) 565-3332 Get Directions Write a Review

NPPES record last updated: January 20, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 20, 2022, Dec 19, 2018, Sep 22, 2016 (3 updates tracked since 2016).

About Southfield Kids Dentist Plc NPPES

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

SOUTHFIELD KIDS DENTIST PLC (NPI 1093264731) is a healthcare organization registered as a pediatric dentistry in Southfield, Michigan and active in the NPI registry since September 2016. The organization lists Ifechide Nwabueze, Manager, as its authorized official.

NPPES Registry Identity

NPI1093264731
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSOUTHFIELD KIDS DENTIST PLC
Location Address18900 W 10 MILE RDSouthfield, MI 48075-2669
Mailing Address18900 W 10 Mile RdSouthfield, MI 48075-2669 · (248) 565-3332
Phone(248) 565-3332
Organization SubpartNo
Authorized OfficialIfechide NwabuezeManager · (248) 217-7997
Enumeration DateSeptember 22, 2016
Last NPPES UpdateJanuary 20, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2022
✔ NPI 1093264731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in MI · 2901020260
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.

18900 W 10 MILE RD, Southfield, MI 48075
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TARIQ OMAR MD PC
Internal Medicine (Pulmonary Disease)
18900 W 10 MILE RD
SOUTHFIELD, MI 48075
Oakland County (248) 424-8340
PHYSICIAN QUALITY CARE SERVICES PLLC
General Practice
18900 W 10 MILE RD
SOUTHFIELD, MI 48075
Oakland County (248) 424-8340
BETH A CARTER MD
Preventive Medicine (Occupational Medicine)
18900 W 10 MILE RD
SOUTHFIELD, MI 48075
Oakland County (248) 424-8340
ASGHAR MOHIUDDIN M.D.
Internal Medicine
18900 W 10 MILE RD
SOUTHFIELD, MI 48075
Oakland County (248) 424-8340
DR. JORDAN MICHELLE DUARTE DMD
Dentist (Pediatric Dentistry)
18900 W 10 MILE RD
SOUTHFIELD, MI 48075
Oakland County (248) 565-3332
DR. IAN MANUEL RODRIGUEZ-APONTE DMD
Dentist (Pediatric Dentistry)
18900 W 10 MILE RD
SOUTHFIELD, MI 48075
Oakland County (248) 565-3332

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 Southfield Kids Dentist Plc's NPI number?

The NPI number for Southfield Kids Dentist Plc is 1093264731. It was assigned to this organization in the NPPES registry on September 22, 2016.

Where is Southfield Kids Dentist Plc located?

Southfield Kids Dentist Plc is located at 18900 W 10 Mile Rd, Southfield, MI 48075. The listed phone number is (248) 565-3332.

What is Southfield Kids Dentist Plc's specialty?

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

What insurance does Southfield Kids Dentist Plc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Southfield Kids Dentist Plc 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 Southfield Kids Dentist Plc was last updated on January 20, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.