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BUBBLE GUM KIDS DENTISTRY
NPI 1285310128
Dentist - Pediatric Dentistry in Port Huron, MI

Active since June 26, 2023
460, PORT HURON, MI 48060(810) 984-5437(810) 987-9499 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bubble Gum Kids Dentistry NPPES

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

BUBBLE GUM KIDS DENTISTRY (NPI 1285310128) is a healthcare organization registered as a pediatric dentistry in Port Huron, Michigan and active in the NPI registry since June 2023. The organization lists Amy Paundlay, Sr. Vice President Of Operation, as its authorized official.

NPPES Registry Identity

NPI1285310128
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameBUBBLE GUM KIDS DENTISTRY
Location Address460Port Huron, MI 48060
Mailing Address460Port Huron, MI 48060 · (810) 984-5437 · Fax (810) 987-9499
Phone(810) 984-5437
Fax(810) 987-9499
Organization SubpartNo
Authorized OfficialAmy PaundlaySr. Vice President Of Operation · (203) 400-9999
Enumeration DateJune 26, 2023
NPPES CertifiedJune 26, 2023
✔ NPI 1285310128 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.

460, Port Huron, MI 48060
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Other Names 1

Doing Business AsBubble Gum Kids Dentistry

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 Bubble Gum Kids Dentistry's NPI number?

The NPI number for Bubble Gum Kids Dentistry is 1285310128. It was assigned to this organization in the NPPES registry on June 26, 2023.

Where is Bubble Gum Kids Dentistry located?

Bubble Gum Kids Dentistry is located at 460, Port Huron, MI 48060. The listed phone number is (810) 984-5437.

What is Bubble Gum Kids 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 Bubble Gum Kids Dentistry was last updated on June 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.