Organization Active NPI

Pediatric Dental Center

  • Pediatric Dentistry
  • Warren, MI
National Provider Identifier
1649369356
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
10466 Issued in MI
Legal business name
PEDIATRIC DENTAL CENTER
Practice address
11662 Martin Rd
Warren, MI 48093-4588
Phone
(586) 754-6300
Fax
(586) 754-6407
NPI assigned
Oct 12, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Michael W Oriordan, D.D.SM.SNPI 1689637324
Title
Owner Dentist
Phone
(586) 754-6300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 15463 MI
Pediatric Dentistry 1223P0221X 10466 MI Primary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 08056 MI

Addresses

Primary practice location

11662 Martin Rd
Warren, MI 48093-4588

Mailing address

11662 Martin Rd
Warren, MI 48093-4588
Phone (586) 754-6300

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1649369356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11662 MARTIN RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480934588",
            "telephone_number": "586-754-6300",
            "fax_number": "586-754-6407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11662 MARTIN RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480934588",
            "telephone_number": "586-754-6300",
            "fax_number": "586-754-6407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ORIORDAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "586-754-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.SM.S"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MI",
            "license": "15463",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MI",
            "license": "10466",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MI",
            "license": "08056",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.