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

Southfield Gum Docs, LLC

Organization Periodontics · NPI 1659875144

Southfield Gum Docs, LLC is a Periodontics in Southfield, Michigan. Licensed in Michigan. Registered with an NPI since 2018.

Licensed in
MI
In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

18860 W 10 Mile Rd
Southfield, MI 48075-2666
Phone: (248) 327-1919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 21098 (MI)

Record details

NPI number1659875144
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Oleg Krivichkin — Doctor · (248) 327-1919
Other names Michigan Gum Docs
NPI enumeratedMarch 20, 2018
Last updated in NPPESJuly 22, 2020
Certification dateJuly 22, 2020
Mailing address18860 W 10 Mile Rd, Southfield, MI 48075-2666

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