Organization · Type 2 NPI

Olde Orchard Pediatric Dentistry

Pediatric Dentistry · Novi, MI

NPI number 1265682900 Active

Practice location

40105 Grand River Ave Ste 2
Novi, MI 48375-2170

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X2901011539 (MI)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1265682900

Olde Orchard Pediatric Dentistry's National Provider Identifier is 1265682900, issued on Sep 30, 2008. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Novi, MI. The record was last updated on Sep 30, 2008.