Southfield Kids Dentist PLC
NPI 1093264731ActiveOrganization· Dentist, Pediatric Dentistry· Southfield, MI
Dentist, Pediatric Dentistry in Southfield, Michigan, registered in NPPES in September 2016. The authorized official on file is Ifechide Nwabueze, DMD, Manager.
Overview
| NPI | 1093264731 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 22, 2016 |
| Last updated in NPPES | Jan 20, 2022 |
| Certified by provider | Jan 20, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | 2901020260 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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