CHILDRENS DENTAL SPECIALISTS OF HAZEL PARK PLLC
NPI 1780143982
Dentist - Pediatric Dentistry in Hazel Park, MI

Q: What is Childrens Dental Specialists Of Hazel Park PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since March 18, 2019

22241 JOHN R RD, HAZEL PARK, MI 48030(248) 336-0356(248) 336-0357 Get Directions Write a Review

NPPES record last updated: August 19, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 19, 2019, Mar 18, 2019 (2 updates tracked since 2019).

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About Childrens Dental Specialists Of Hazel Park Pllc NPPES

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

CHILDRENS DENTAL SPECIALISTS OF HAZEL PARK PLLC (NPI 1780143982) is a healthcare organization registered as a pediatric dentistry in Hazel Park, Michigan and active in the NPI registry since March 2019. The organization lists Ifechide Nwabueze, President, as its authorized official.

NPPES Registry Identity

NPI1780143982

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameCHILDRENS DENTAL SPECIALISTS OF HAZEL PARK PLLC

Location Address22241 JOHN R RDHazel Park, MI 48030-1716

Mailing Address22241 John R RdHazel Park, MI 48030-1716 · (248) 336-0356 · Fax (248) 336-0357

Phone(248) 336-0356

Fax(248) 336-0357

Organization SubpartNo

Authorized OfficialIfechide NwabuezePresident · (248) 336-0356

Enumeration DateMarch 18, 2019

Last NPPES UpdateAugust 19, 20192 updates tracked since enumeration

✔ NPI 1780143982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

22241 JOHN R RD, Hazel Park, MI 48030

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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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 5

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

SARA HAK

Student in an Organized Health Care Education/Training Program