OrganizationActive
Childrens Dental Program PLLC
NPI 1225602022 · Pediatric Dentistry · Hazel Park, MI
Childrens Dental Program PLLC is a Pediatric Dentistry organization in Hazel Park, MI (NPI 1225602022).
Provider details
- NPI number
- 1225602022
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Ifechide Nwabuezr, Owner(248) 217-7997
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
22241 John R Rd
Hazel Park, MI 48030-1716
Phone: (248) 217-7997
Street-level locationGet directions
Mailing address
22241 John R Rd
Hazel Park, MI 48030-1716
Registry dates
- Enumerated
- 2021-05-17
- Last updated
- 2021-05-17
- Certified
- 2021-05-17
Frequently asked questions
- What is Childrens Dental Program PLLC's NPI number?
- Childrens Dental Program PLLC's National Provider Identifier (NPI) is 1225602022, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Childrens Dental Program PLLC?
- Childrens Dental Program PLLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Childrens Dental Program PLLC located?
- Childrens Dental Program PLLC's practice location on file with NPPES is 22241 John R Rd, Hazel Park, MI 48030-1716.
- What is Childrens Dental Program PLLC's phone number?
- The practice phone number listed in the NPPES registry for Childrens Dental Program PLLC is (248) 217-7997.
- Who is the authorized official for Childrens Dental Program PLLC?
- The authorized official listed on Childrens Dental Program PLLC's NPPES record is Ifechide Nwabuezr, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Childrens Dental Program PLLC's NPI active?
- Yes — Childrens Dental Program PLLC's NPI (1225602022) is active in the NPPES registry as of the last update on 2021-05-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.