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

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: July 26, 2026.

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

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
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

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.

Dentist
18860 W 10 MILE RD
SOUTHFIELD, MI 48075
Dentist (Prosthodontics)
18860 W 10 MILE RD
SOUTHFIELD, MI 48075
Dentist (Orthodontics and Dentofacial Orthopedics)
18860 W 10 MILE RD
SOUTHFIELD, MI 48075
Durable Medical Equipment & Medical Supplies
18860 W 10 MILE RD
SOUTHFIELD, MI 48075
Dentist (Orthodontics and Dentofacial Orthopedics)
18860 W 10 MILE RD
SOUTHFIELD, MI 48075
Dentist (General Practice)
18860 W 10 MILE RD
SOUTHFIELD, MI 48075
Dentist (Orthodontics and Dentofacial Orthopedics)
18860 W 10 MILE RD
SOUTHFIELD, MI 48075

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 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.

Where is Southfield Gum Docs, LLC located?

Southfield Gum Docs, LLC is located at 18860 W 10 Mile Rd, Southfield, MI 48075. The listed phone number is (248) 327-1919.

What is Southfield Gum Docs, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Southfield Gum Docs, LLC was last updated on July 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.