Active NPI
Pediatric Dental Center
- Pediatric Dentistry
- Warren, MI
National Provider Identifier
1649369356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 10466
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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.S
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Pediatric Dentistry
- Warren, MI
- NPI 1689637324
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.