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PEDIATRIC DENTISTRY
NPI 1518527191
Dentist - Pediatric Dentistry in Canton, MI

Active since June 17, 2019
45535 HANFORD RD, CANTON, MI 48187(734) 254-0786(734) 254-0861 Get Directions Write a Review

NPPES record last updated: June 17, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pediatric Dentistry NPPES

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

PEDIATRIC DENTISTRY (NPI 1518527191) is a healthcare organization registered as a pediatric dentistry in Canton, Michigan and active in the NPI registry since June 2019. The organization lists Farah Khan, Pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1518527191
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTISTRY
Location Address45535 HANFORD RDCanton, MI 48187-4595
Mailing Address45535 Hanford RdCanton, MI 48187-4595 · (734) 254-0786 · Fax (734) 254-0861
Phone(734) 254-0786
Fax(734) 254-0861
Organization SubpartNo
Authorized OfficialFarah KhanPediatric Dentist · (736) 254-0786
Enumeration DateJune 17, 2019
✔ NPI 1518527191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedDentist · General PracticeTaxonomy 1223G0001X
45535 HANFORD RD, Canton, MI 48187
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Other Identifiers 1

Other1548369291MI · National Provider Id

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 MULTIPLE 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 Pediatric Dentistry's NPI number?

The NPI number for Pediatric Dentistry is 1518527191. It was assigned to this organization in the NPPES registry on June 17, 2019.

Where is Pediatric Dentistry located?

Pediatric Dentistry is located at 45535 Hanford Rd, Canton, MI 48187. The listed phone number is (734) 254-0786.

What is 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 Pediatric Dentistry 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.