Bubble Gum Kids Dentistry Clinton Twp
NPI 1558149195ActiveOrganization· Dentist, Pediatric Dentistry· Clinton Township, MI
Dentist, Pediatric Dentistry in Clinton Township, Michigan, registered in NPPES in September 2023. The authorized official on file is Amy Paundlay, Sr. Vp Of Position.
Overview
| NPI | 1558149195 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 15, 2023 |
| Last updated in NPPES | Sep 19, 2023 |
| Certified by provider | Sep 17, 2023 |
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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