Kids Tooth Team Fenton PPLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

KIDS TOOTH TEAM FENTON PPLC

Practice address

1110 N Leroy St
Fenton, MI 48430-2758

Phone

(248) 422-0555

NPI assigned

Nov 12, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kasey Marie Stark, DDSNPI 1477083855

Title

Pediatric Dentist

Phone

(248) 422-0555

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kasey Marie Stark, DDS

  • General Practice Dentistry
  • Otisville, MI
  • NPI 1477083855
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1762905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1073473237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 N LEROY ST",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302758",
            "telephone_number": "248-422-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 N LEROY ST",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302758",
            "telephone_number": "248-422-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS TOOTH TEAM FENTON PPLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-12",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "STARK",
        "authorized_official_first_name": "KASEY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "248-422-0555",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keller Family Home Care, Inc.
• Michal Kelly, L. AC., MSTOM
• Kelsy Hoerauf PC
• Rosemarie Kennedy, MD
• Kathleen Marie Kerperien, RN/ BSN/ IBCLC
• Jane Elaine Kimball, LBSW
• Kindred Speech Therapy LLC
• Zachary King, M.D.
• Michael John Kirby, M.D.
• Renee Elizabeth Kirkpatrick, DDS

• Pediatric Dentistry in Fenton, MI
• Providers in Fenton, MI by specialty
• Pediatric Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.