Bubble Gum Kids Dentistry
NPI 1225714157ActiveOrganization· Dentist, Pediatric Dentistry· Warren, MI
Dentist, Pediatric Dentistry in Warren, Michigan, registered in NPPES in June 2023. The authorized official on file is Amy Paundlay, Sr. Vice President Of Operations.
Overview
| NPI | 1225714157 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 26, 2023 |
| Last updated in NPPES | Jun 26, 2023 |
| Certified by provider | Jun 26, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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