George E Krull, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

2901012196 Issued in IN

Practice address

6401 Citation Dr
Suite a
Clarkston, MI 48346-2992

Phone

(248) 625-3603

Fax

(248) 625-7164

NPI assigned

May 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clarkston Pediatric Dentistry PLC

  • Dental Clinic/Center
  • Clarkston, MI
  • NPI 1568852382
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1891743043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 CITATION DR",
            "address_2": "SUITE A",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462992",
            "telephone_number": "248-625-3603",
            "fax_number": "248-625-7164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 CITATION DR",
            "address_2": "SUITE A",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462992",
            "telephone_number": "248-625-3603",
            "fax_number": "248-625-7164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRULL",
        "first_name": "GEORGE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "D12196",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IN",
            "license": "2901012196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4064991",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Calista Lily Krause
• Kroger Co of Michigan
• Kroger Co of Michigan
• Kroger Co of Michigan
• Nina Renee Kronenberg, BEHAVIOR TECHNICIAN
• Scott Thomas Krull, PA-C
• Sarah Kube
• Kenneth J Kubiak, PT
• Mark T. Kush, R. PH.
• Gary S Kwartowitz, D.O.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.