Childrens Dental Program PLLC
NPI 1225602022ActiveOrganization· Dentist, Pediatric Dentistry· Hazel Park, MI
Dentist, Pediatric Dentistry in Hazel Park, Michigan, registered in NPPES in May 2021. The authorized official on file is Ifechide Nwabuezr, DMD, Owner.
Overview
| NPI | 1225602022 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 17, 2021 |
| Last updated in NPPES | May 17, 2021 |
| Certified by provider | May 17, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | — | — |
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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