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BUBBLE GUM KIDS DENTISTRY
NPI 1790461630
Dentist - Pediatric Dentistry in Southgate, MI

Active since June 26, 2023
15401 DIX TOLEDO RD, SOUTHGATE, MI 48195(734) 999-9292(734) 999-9393 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bubble Gum Kids Dentistry NPPES

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

BUBBLE GUM KIDS DENTISTRY (NPI 1790461630) is a healthcare organization registered as a pediatric dentistry in Southgate, Michigan and active in the NPI registry since June 2023. The organization lists Amy Paundlay, Sr. Vice President Of Operatopms, as its authorized official.

NPPES Registry Identity

NPI1790461630
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameBUBBLE GUM KIDS DENTISTRY
Location Address15401 DIX TOLEDO RDSouthgate, MI 48195
Mailing Address15401 Dix Toledo RdSouthgate, MI 48195 · (734) 999-9292 · Fax (734) 999-9393
Phone(734) 999-9292
Fax(734) 999-9393
Organization SubpartNo
Authorized OfficialAmy PaundlaySr. Vice President Of Operatopms · (203) 400-9999
Enumeration DateJune 26, 2023
NPPES CertifiedJune 26, 2023
✔ NPI 1790461630 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.
15401 DIX TOLEDO RD, Southgate, MI 48195
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Other Names 1

Doing Business AsBubble Gum Kids Dentistry

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

Accepted Insurance

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

Other Providers at the Same Location NPPES 2

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

ALL ABOUT ORTHODONTICS SOUTHGATE, PC
Dentist (Orthodontics and Dentofacial Orthopedics)
15401 DIX TOLEDO RD
SOUTHGATE, MI 48195
Wayne County (734) 999-4774
GARFIELD ROAD DENTAL- 2
Dentist (General Practice)
15401 DIX TOLEDO RD
SOUTHGATE, MI 48195
Wayne County (770) 916-9000

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 Bubble Gum Kids Dentistry's NPI number?

The NPI number for Bubble Gum Kids Dentistry is 1790461630. It was assigned to this organization in the NPPES registry on June 26, 2023.

Where is Bubble Gum Kids Dentistry located?

Bubble Gum Kids Dentistry is located at 15401 Dix Toledo Rd, Southgate, MI 48195. The listed phone number is (734) 999-9292.

What is Bubble Gum Kids Dentistry's specialty?

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

What insurance does Bubble Gum Kids Dentistry accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Bubble Gum Kids Dentistry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bubble Gum Kids Dentistry was last updated on June 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.