OrganizationActive
Olde Orchard Pediatric Dentistry
NPI 1265682900 · Pediatric Dentistry · Novi, MI
Olde Orchard Pediatric Dentistry is a Pediatric Dentistry organization in Novi, MI (NPI 1265682900).
Provider details
- NPI number
- 1265682900
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Daphne West, Assistant Office Manager(248) 478-3232
- License
- 2901011539 (MI)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
40105 Grand River Ave Ste 2
Novi, MI 48375-2170
Phone: (248) 478-3232
Street-level locationGet directions
Mailing address
40105 Grand River Ave Ste 2
Novi, MI 48375-2170
Other names (DBA / former)
- Doing business as
- Susan H. Carron, D.D.S., M.s.
Registry dates
- Enumerated
- 2008-09-30
- Last updated
- 2008-09-30
Frequently asked questions
- What is Olde Orchard Pediatric Dentistry's NPI number?
- Olde Orchard Pediatric Dentistry's National Provider Identifier (NPI) is 1265682900, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Olde Orchard Pediatric Dentistry?
- Olde Orchard Pediatric Dentistry is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Olde Orchard Pediatric Dentistry located?
- Olde Orchard Pediatric Dentistry's practice location on file with NPPES is 40105 Grand River Ave Ste 2, Novi, MI 48375-2170.
- What is Olde Orchard Pediatric Dentistry's phone number?
- The practice phone number listed in the NPPES registry for Olde Orchard Pediatric Dentistry is (248) 478-3232.
- Who is the authorized official for Olde Orchard Pediatric Dentistry?
- The authorized official listed on Olde Orchard Pediatric Dentistry's NPPES record is Daphne West, Assistant Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Olde Orchard Pediatric Dentistry's NPI active?
- Yes — Olde Orchard Pediatric Dentistry's NPI (1265682900) is active in the NPPES registry as of the last update on 2008-09-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.