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CHILDRENS DENTAL CARE OF DETROIT
NPI 1104482439
Dentist - Pediatric Dentistry in Detroit, MI

Active since May 13, 2019
430 MACK AVE, DETROIT, MI 48201(313) 262-6059(313) 262-6331 Get Directions Write a Review

NPPES record last updated: January 5, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 5, 2021, Jun 11, 2019, May 16, 2019 (3 updates tracked since 2019).

About Childrens Dental Care Of Detroit NPPES

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

CHILDRENS DENTAL CARE OF DETROIT (NPI 1104482439), doing business as Children's Dental Care Of Detroit, is a healthcare organization registered as a pediatric dentistry in Detroit, Michigan and active in the NPI registry since May 2019. The organization lists Hassan Oueis, Owner, as its authorized official.

NPPES Registry Identity

NPI1104482439
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCHILDRENS DENTAL CARE OF DETROIT
Location Address430 MACK AVEDetroit, MI 48201-2136
Mailing Address430 Mack AveDetroit, MI 48201-2136 · (313) 262-6059 · Fax (313) 262-6331
Phone(313) 262-6059
Fax(313) 262-6331
Organization SubpartNo
Authorized OfficialHassan OueisOwner · (313) 262-6059
Enumeration DateMay 13, 2019
Last NPPES UpdateJanuary 5, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2021
✔ NPI 1104482439 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.
430 MACK AVE, Detroit, MI 48201
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Other Names 1

Former Legal Business NameChildren's Dental Care Of Detroit

Other Identifiers 1

Medicaid1386813244MI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

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

DARNELL KAIGLER PLLC
Dentist (Periodontics)
430 MACK AVE
DETROIT, MI 48201
Wayne County (313) 936-0819
DR. RUBEN TAGUIAM BENITO M.D.
Legal Medicine
430 MACK AVE, SUITE B
DETROIT, MI 48201
Wayne County (313) 831-5913
RENAISSANCE MEDICAL CENTER PLLC
Medical Genetics, Ph.D. Medical Genetics
430 MACK AVE
DETROIT, MI 48201
Wayne County (313) 831-5913
RIO DETROIT INC
Pharmacy (Community/Retail Pharmacy)
430 MACK AVE
DETROIT, MI 48201
Wayne County (313) 831-3700
DMXRX LTD
Pharmacy (Community/Retail Pharmacy)
430 MACK AVE
DETROIT, MI 48201
Wayne County (313) 831-3700
MACK MEDICAL MANAGEMENT LLC
Specialist
430 MACK AVE
DETROIT, MI 48201
Wayne County (248) 636-0071
MEDICAL MANAGEMENT PC
Family Medicine
430 MACK AVE
DETROIT, MI 48201
Wayne County (313) 831-5913
ARIANNE SOPHIA SWANSON D.D.S
Dentist (General Practice)
430 MACK AVE
DETROIT, MI 48201
Wayne County (313) 936-0819

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 Childrens Dental Care Of Detroit's NPI number?

The NPI number for Childrens Dental Care Of Detroit is 1104482439. It was assigned to this organization in the NPPES registry on May 13, 2019. The provider was formerly known as Children's Dental Care Of Detroit.

Where is Childrens Dental Care Of Detroit located?

Childrens Dental Care Of Detroit is located at 430 Mack Ave, Detroit, MI 48201. The listed phone number is (313) 262-6059.

What is Childrens Dental Care Of Detroit'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 Childrens Dental Care Of Detroit was last updated on January 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.