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

Kids Tooth Team Lake Orion PLLC

Organization Pediatric Dentistry · NPI 1154105542

Kids Tooth Team Lake Orion PLLC provides Pediatric Dentistry in Lake Orion, Michigan. Registered with an NPI since 2023.

In the registry since
2023
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

4749 S Baldwin Rd
Lake Orion, MI 48359-2114
Phone: (810) 252-6616
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 number1154105542
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kasey Stark — Owner / Pediatric Dentist · (810) 252-6616
NPI enumeratedAugust 24, 2023
Last updated in NPPESAugust 24, 2023
Certification dateAugust 24, 2023
Mailing address5141 Meadowhill Trl, Grand Blanc, MI 48439-8339