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OKEMOS PEDIATRIC DENTISTRY
NPI 1154065977
Dentist - Pediatric Dentistry in Okemos, MI

Active since April 27, 2022
3985 OKEMOS RD, OKEMOS, MI 48864(517) 381-5244(517) 381-5247 Get Directions Write a Review

NPPES record last updated: April 27, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Okemos Pediatric Dentistry NPPES

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

OKEMOS PEDIATRIC DENTISTRY (NPI 1154065977) is a healthcare organization registered as a pediatric dentistry in Okemos, Michigan and active in the NPI registry since April 2022. The organization lists Melvin S Jung, President, as its authorized official.

NPPES Registry Identity

NPI1154065977
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameOKEMOS PEDIATRIC DENTISTRY
Location Address3985 OKEMOS RDOkemos, MI 48864-3692
Mailing Address3985 Okemos RdOkemos, MI 48864-3692 · (517) 381-5244 · Fax (517) 381-5247
Phone(517) 381-5244
Fax(517) 381-5247
Organization SubpartNo
Authorized OfficialMelvin S JungPresident · (517) 381-5244
Enumeration DateApril 27, 2022
NPPES CertifiedApril 27, 2022
✔ NPI 1154065977 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.
3985 OKEMOS RD, Okemos, MI 48864
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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

Other Providers at the Same Location NPPES 3

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

DR. CHRISTINE A TENAGLIA DDS
Dentist (General Practice)
3985 OKEMOS RD
OKEMOS, MI 48864
Ingham County (517) 347-6733
DR. MELVIN SHAO YUN JUNG DMD FAAPD
Dentist (Pediatric Dentistry)
3985 OKEMOS RD
OKEMOS, MI 48864
Ingham County (517) 381-5244
DR. DOMINIQUE RAE MACPHAIL DDS
Dentist
3985 OKEMOS RD
OKEMOS, MI 48864
Ingham County (517) 347-6733

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 Okemos Pediatric Dentistry's NPI number?

The NPI number for Okemos Pediatric Dentistry is 1154065977. It was assigned to this organization in the NPPES registry on April 27, 2022.

Where is Okemos Pediatric Dentistry located?

Okemos Pediatric Dentistry is located at 3985 Okemos Rd, Okemos, MI 48864. The listed phone number is (517) 381-5244.

What is Okemos Pediatric Dentistry'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 Okemos Pediatric Dentistry was last updated on April 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.