Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Childrens Dental Specialists of Hazel Park PLLC

Organization Pediatric Dentistry · NPI 1780143982

Childrens Dental Specialists of Hazel Park PLLC provides Pediatric Dentistry in Hazel Park, Michigan. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

22241 John R Rd
Hazel Park, MI 48030-1716
Phone: (248) 336-0356
Fax: (248) 336-0357
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1780143982
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ifechide Nwabueze — President · (248) 336-0356
NPI enumeratedMarch 18, 2019
Last updated in NPPESAugust 19, 2019
Mailing address22241 John R Rd, Hazel Park, MI 48030-1716

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