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

Waterford Kids Dental Club, PLLC

Organization General Practice Dentistry · NPI 1689224818

Waterford Kids Dental Club, PLLC is a General Practice Dentistry in Waterford, 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

3801 Elizabeth Lake Rd
Waterford, MI 48328-3017
Phone: (248) 909-2132
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1689224818
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rebeca Urquiola — Owner · (248) 909-2132
NPI enumeratedSeptember 19, 2019
Last updated in NPPESSeptember 19, 2019
Mailing address4220 Surrey Cross, Bloomfield Hills, MI 48301-1669

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