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TOOTH TOWN PEDIATRIC DENTISTRY, PLLC
NPI 1295395739
Clinic/Center - Dental in South Lyon, MI

Active since June 17, 2019
26018 PONTIAC TRL, SOUTH LYON, MI 48178(248) 486-4030(855) 778-2780 Get Directions Write a Review

NPPES record last updated: June 17, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Tooth Town Pediatric Dentistry, Pllc NPPES

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

TOOTH TOWN PEDIATRIC DENTISTRY, PLLC (NPI 1295395739) is a healthcare organization registered as a dental in South Lyon, Michigan and active in the NPI registry since June 2019. The organization lists Stephen Ghezzi, Owner, as its authorized official.

NPPES Registry Identity

NPI1295395739
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameTOOTH TOWN PEDIATRIC DENTISTRY, PLLC
Location Address26018 PONTIAC TRLSouth Lyon, MI 48178-8050
Mailing Address26018 Pontiac TrlSouth Lyon, MI 48178-8050 · (248) 486-4030 · Fax (855) 778-2780
Phone(248) 486-4030
Fax(855) 778-2780
Organization SubpartNo
Authorized OfficialStephen GhezziOwner · (248) 486-4030
Enumeration DateJune 17, 2019
✔ NPI 1295395739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
26018 PONTIAC TRL, South Lyon, MI 48178
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Other Providers at the Same Location NPPES

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

MR. STEPHEN M GHEZZI D.D.S.
Dentist (Pediatric Dentistry)
26018 PONTIAC TRL
SOUTH LYON, MI 48178
Oakland County (248) 486-4030

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 Tooth Town Pediatric Dentistry, PLLC's NPI number?

The NPI number for Tooth Town Pediatric Dentistry, PLLC is 1295395739. It was assigned to this organization in the NPPES registry on June 17, 2019.

Where is Tooth Town Pediatric Dentistry, PLLC located?

Tooth Town Pediatric Dentistry, PLLC is located at 26018 Pontiac Trl, South Lyon, MI 48178. The listed phone number is (248) 486-4030.

What is Tooth Town Pediatric Dentistry, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Tooth Town Pediatric Dentistry, PLLC was last updated on June 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.