Childrens Dental Specialists of Waterford PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

CHILDRENS DENTAL SPECIALISTS OF WATERFORD PLLC

Doing business as

childrens dental specialists of waterford

Practice address

1265 W Huron St
Waterford, MI 48328-3677

Phone

(248) 217-7997

NPI assigned

Mar 21, 2023

Organization subpart

No

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

Authorized official

Name

Ifechide Nonye Nwabueze, DDS

Title

President

Phone

(248) 217-7997

Specialties & licenses 1

Addresses

Other names 1

• childrens dental specialists of waterford Doing business as

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1447952668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 W HURON ST",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483283677",
            "telephone_number": "248-217-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 W HURON ST",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483283677",
            "telephone_number": "248-217-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS DENTAL SPECIALISTS OF WATERFORD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-21",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "NWABUEZE",
        "authorized_official_first_name": "IFECHIDE",
        "authorized_official_middle_name": "NONYE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-217-7997",
        "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": [
        {
            "organization_name": "childrens dental specialists of waterford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lyle Wesley Chalker
• Himabindu Chandrasekhar, M.D.
• Ashley Chapman
• Charter Township of Waterford (Waterford Regional Fire Department)
• Fai Cheleuka, LLMSW
• Linda Ching, R.N.
• Melanie Chismody
• Saravanan Chockalingam, PT
• Hyden Myung Il Choi, DDS
• Chufi Afc Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.