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

Childrens Dental Program PLLC

Organization Pediatric Dentistry · NPI 1225602022

Childrens Dental Program PLLC is a Pediatric Dentistry in Hazel Park, Michigan. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

22241 John R Rd
Hazel Park, MI 48030-1716
Phone: (248) 217-7997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1225602022
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ifechide Nwabuezr — Owner · (248) 217-7997
NPI enumeratedMay 17, 2021
Last updated in NPPESMay 17, 2021
Certification dateMay 17, 2021
Mailing address22241 John R Rd, Hazel Park, MI 48030-1716

Other providers in Hazel Park