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

Olde Orchard Pediatric Dentistry

Organization Pediatric Dentistry · NPI 1265682900

Olde Orchard Pediatric Dentistry is a Pediatric Dentistry in Novi, Michigan. Licensed in Michigan. Registered with an NPI since 2008.

Licensed in
MI
In the registry since
2008

Practice location Address checks out

40105 Grand River Ave Ste 2
Novi, MI 48375-2170
Phone: (248) 478-3232
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 2901011539 (MI)

Record details

NPI number1265682900
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daphne West — Assistant Office Manager · (248) 478-3232
Other names Susan H. Carron, D.D.S., M.S.
NPI enumeratedSeptember 30, 2008
Last updated in NPPESSeptember 30, 2008
Mailing address40105 Grand River Ave Ste 2, Novi, MI 48375-2170

Other providers in Novi