MICHIGAN GUM DOCS
NPI 1659875144
Dentist - Periodontics in Southfield, MI

Q: What is Southfield Gum Docs, LLC's NPI number?

The NPI number for Southfield Gum Docs, LLC is 1659875144. It was assigned to this organization in the NPPES registry on March 20, 2018. The provider is doing business as Michigan Gum Docs.

Q: What is Southfield Gum Docs, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Active since March 20, 2018

18860 W 10 MILE RD, SOUTHFIELD, MI 48075(248) 327-1919 Get Directions Write a Review

NPPES record last updated: July 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 22, 2020, Mar 20, 2018 (2 updates tracked since 2018).

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About Michigan Gum Docs NPPES

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

MICHIGAN GUM DOCS (NPI 1659875144) is a healthcare organization registered as a periodontics in Southfield, Michigan and active in the NPI registry since March 2018. The organization lists Oleg Unpriced Krivichkin, Doctor, as its authorized official.

NPPES Registry Identity

NPI1659875144

Entity TypeOrganization

Primary Taxonomy1223P0300X

Legal Business NameSOUTHFIELD GUM DOCS, LLC

Location Address18860 W 10 MILE RDSouthfield, MI 48075-2666

Mailing Address18860 W 10 Mile RdSouthfield, MI 48075-2666 · (248) 327-1919 · Fax (248) 552-0992

Phone(248) 327-1919

Organization SubpartNo

Authorized OfficialOleg Unpriced KrivichkinDoctor · (248) 327-1919

Enumeration DateMarch 20, 2018

Last NPPES UpdateJuly 22, 20202 updates tracked since enumeration

NPPES CertifiedJuly 22, 2020

✔ NPI 1659875144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in MI · 21098

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

18860 W 10 MILE RD, Southfield, MI 48075

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Other Names 1

Doing Business AsMichigan Gum Docs

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 7

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

PEDO ORTHO OF MICHIGAN PLLC

Dentist