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WATERFORD KIDS DENTAL CLUB, PLLC
NPI 1689224818
Dentist - General Practice in Waterford, MI

Active since September 19, 2019
3801 ELIZABETH LAKE RD, WATERFORD, MI 48328(248) 909-2132 Get Directions Write a Review

NPPES record last updated: September 19, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Waterford Kids Dental Club, Pllc NPPES

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

WATERFORD KIDS DENTAL CLUB, PLLC (NPI 1689224818) is a healthcare organization registered as a general practice in Waterford, Michigan and active in the NPI registry since September 2019. The organization lists Rebeca Urquiola, Owner, as its authorized official.

NPPES Registry Identity

NPI1689224818
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameWATERFORD KIDS DENTAL CLUB, PLLC
Location Address3801 ELIZABETH LAKE RDWaterford, MI 48328-3017
Mailing Address4220 Surrey CrossBloomfield Hills, MI 48301-1669 · (248) 909-2132
Phone(248) 909-2132
Organization SubpartNo
Authorized OfficialRebeca UrquiolaOwner · (248) 909-2132
Enumeration DateSeptember 19, 2019
✔ NPI 1689224818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3801 ELIZABETH LAKE RD, Waterford, MI 48328
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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 Waterford Kids Dental Club, PLLC's NPI number?

The NPI number for Waterford Kids Dental Club, PLLC is 1689224818. It was assigned to this organization in the NPPES registry on September 19, 2019.

Where is Waterford Kids Dental Club, PLLC located?

Waterford Kids Dental Club, PLLC is located at 3801 Elizabeth Lake Rd, Waterford, MI 48328. The listed phone number is (248) 909-2132.

What is Waterford Kids Dental Club, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Waterford Kids Dental Club, PLLC was last updated on September 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.