OrganizationActive
Kids Tooth Team Lake Orion PLLC
NPI 1154105542 · Pediatric Dentistry · Lake Orion, MI
Kids Tooth Team Lake Orion PLLC is a Pediatric Dentistry organization in Lake Orion, MI (NPI 1154105542).
Provider details
- NPI number
- 1154105542
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kasey Stark, Owner / Pediatric Dentist(810) 252-6616
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4749 S Baldwin Rd
Lake Orion, MI 48359-2114
Phone: (810) 252-6616
Approximate (ZIP-level) locationGet directions
Mailing address
5141 Meadowhill Trl
Grand Blanc, MI 48439-8339
Registry dates
- Enumerated
- 2023-08-24
- Last updated
- 2023-08-24
- Certified
- 2023-08-24
Frequently asked questions
- What is Kids Tooth Team Lake Orion PLLC's NPI number?
- Kids Tooth Team Lake Orion PLLC's National Provider Identifier (NPI) is 1154105542, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kids Tooth Team Lake Orion PLLC?
- Kids Tooth Team Lake Orion PLLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Kids Tooth Team Lake Orion PLLC located?
- Kids Tooth Team Lake Orion PLLC's practice location on file with NPPES is 4749 S Baldwin Rd, Lake Orion, MI 48359-2114.
- What is Kids Tooth Team Lake Orion PLLC's phone number?
- The practice phone number listed in the NPPES registry for Kids Tooth Team Lake Orion PLLC is (810) 252-6616.
- Who is the authorized official for Kids Tooth Team Lake Orion PLLC?
- The authorized official listed on Kids Tooth Team Lake Orion PLLC's NPPES record is Kasey Stark, Owner / Pediatric Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kids Tooth Team Lake Orion PLLC's NPI active?
- Yes — Kids Tooth Team Lake Orion PLLC's NPI (1154105542) is active in the NPPES registry as of the last update on 2023-08-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.