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CHILDRENS DENTAL PROGRAM PLLC
NPI 1225602022
Dentist - Pediatric Dentistry in Hazel Park, MI

Active since May 17, 2021
22241 JOHN R RD, HAZEL PARK, MI 48030(248) 217-7997 Get Directions Write a Review

NPPES record last updated: May 17, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Childrens Dental Program Pllc NPPES

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

CHILDRENS DENTAL PROGRAM PLLC (NPI 1225602022) is a healthcare organization registered as a pediatric dentistry in Hazel Park, Michigan and active in the NPI registry since May 2021. The organization lists Ifechide Nwabuezr, Owner, as its authorized official.

NPPES Registry Identity

NPI1225602022
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCHILDRENS DENTAL PROGRAM PLLC
Location Address22241 JOHN R RDHazel Park, MI 48030-1716
Mailing Address22241 John R RdHazel Park, MI 48030-1716 · (248) 217-7997
Phone(248) 217-7997
Organization SubpartNo
Authorized OfficialIfechide NwabuezrOwner · (248) 217-7997
Enumeration DateMay 17, 2021
NPPES CertifiedMay 17, 2021
✔ NPI 1225602022 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.

22241 JOHN R RD, Hazel Park, MI 48030
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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 5

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

SARA HAK
Student in an Organized Health Care Education/Training Program
22241 JOHN R RD
HAZEL PARK, MI 48030
Oakland County (248) 336-0356
DR. LAUREN KO-APPELBAUM DDS
Dentist (General Practice)
22241 JOHN R RD
HAZEL PARK, MI 48030
Oakland County (248) 336-0356
CHILDRENS DENTAL SPECIALISTS OF HAZEL PARK PLLC
Dentist (Pediatric Dentistry)
22241 JOHN R RD
HAZEL PARK, MI 48030
Oakland County (248) 336-0356
DR. KRISTEN CHARLENE PONICHTER DMD
Dentist (Pediatric Dentistry)
22241 JOHN R RD
HAZEL PARK, MI 48030
Oakland County (248) 336-0356
JULIETTE THOMAS
Student in an Organized Health Care Education/Training Program
22241 JOHN R RD
HAZEL PARK, MI 48030
Oakland County (248) 336-0356

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 Program PLLC's NPI number?

The NPI number for Childrens Dental Program PLLC is 1225602022. It was assigned to this organization in the NPPES registry on May 17, 2021.

Where is Childrens Dental Program PLLC located?

Childrens Dental Program PLLC is located at 22241 John R Rd, Hazel Park, MI 48030. The listed phone number is (248) 217-7997.

What is Childrens Dental Program PLLC'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 Program PLLC was last updated on May 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.