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

Childrens Dental Specialists of Hazel Park PLLC

Organization Pediatric Dentistry · NPI 1780143982

Childrens Dental Specialists of Hazel Park PLLC is a 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

Other providers in Hazel Park