Southfield Gum Docs, LLC
NPI 1659875144ActiveOrganization· Dentist, Periodontics· Southfield, MI
Dentist, Periodontics in Southfield, Michigan, registered in NPPES in March 2018. The authorized official on file is Oleg Unpriced Krivichkin, DDS, Doctor.
Overview
| NPI | 1659875144 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 20, 2018 |
| Last updated in NPPES | Jul 22, 2020 |
| Certified by provider | Jul 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Periodontics Primary | 1223P0300X | 21098 | MI |
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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