Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bubble Gum Kids Dentistry

Organization Pediatric Dentistry · NPI 1790461630

Bubble Gum Kids Dentistry is a Pediatric Dentistry in Southgate, Michigan. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

15401 Dix Toledo Rd
Southgate, MI 48195
Phone: (734) 999-9292
Fax: (734) 999-9393
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 number1790461630
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Paundlay — Sr. Vice President Of Operatopms · (203) 400-9999
Other names Bubble Gum Kids Dentistry
NPI enumeratedJune 26, 2023
Last updated in NPPESJune 26, 2023
Certification dateJune 26, 2023
Mailing address15401 Dix Toledo Rd, Southgate, MI 48195

Other providers in Southgate