OrganizationActive
Southfield Gum Docs, LLC
NPI 1659875144 · Periodontics · Southfield, MI
Southfield Gum Docs, LLC is a Periodontics organization in Southfield, MI (NPI 1659875144).
Provider details
- NPI number
- 1659875144
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Oleg Krivichkin, Doctor(248) 327-1919
- License
- 21098 (MI)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
18860 W 10 Mile Rd
Southfield, MI 48075-2666
Phone: (248) 327-1919
Street-level locationGet directions
Mailing address
18860 W 10 Mile Rd
Southfield, MI 48075-2666
Other names (DBA / former)
- Doing business as
- Michigan Gum Docs
Registry dates
- Enumerated
- 2018-03-20
- Last updated
- 2020-07-22
- Certified
- 2020-07-22
Frequently asked questions
- What is Southfield Gum Docs, LLC's NPI number?
- Southfield Gum Docs, LLC's National Provider Identifier (NPI) is 1659875144, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southfield Gum Docs, LLC?
- Southfield Gum Docs, LLC is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Southfield Gum Docs, LLC located?
- Southfield Gum Docs, LLC's practice location on file with NPPES is 18860 W 10 Mile Rd, Southfield, MI 48075-2666.
- What is Southfield Gum Docs, LLC's phone number?
- The practice phone number listed in the NPPES registry for Southfield Gum Docs, LLC is (248) 327-1919.
- Who is the authorized official for Southfield Gum Docs, LLC?
- The authorized official listed on Southfield Gum Docs, LLC's NPPES record is Oleg Krivichkin, Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southfield Gum Docs, LLC's NPI active?
- Yes — Southfield Gum Docs, LLC's NPI (1659875144) is active in the NPPES registry as of the last update on 2020-07-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.