Olde Orchard Pediatric Dentistry is a Pediatric Dental Clinic in Novi, Michigan. It is located at 40105 Grand River Ave Ste 2, Novi, MI and its contact number is 248-478-3232. The authorized person for Olde Orchard Pediatric Dentistry is Daphne West
who is Assistant Office Manager of the clinic and their contact number is 248-478-3232. The primary license number for Olde Orchard Pediatric Dentistry is 2901011539 (Pediatric Dentistry) in Michigan.
Olde Orchard Pediatric Dentistry Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Olde Orchard Pediatric Dentistry Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Olde Orchard Pediatric Dentistry |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 40105 Grand River Ave Ste 2, Novi,
Michigan, 48375-2170 |
| Phone: | 248-478-3232 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Daphne West |
| Position: | Assistant Office Manager |
| Contact Number: | 248-478-3232 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Olde Orchard Pediatric Dentistry clinic are as mentioned below.
| NPI Number: | 1265682900 |
| NPI Enumeration Date: | 30 Sep, 2008 |
| NPI Last Update On: | 30 Sep, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Olde Orchard Pediatric Dentistry are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | 2901011539 | Michigan | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2669122 | Medicaid | Michigan | |
| 2823071 | Medicaid | Michigan | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Olde Orchard Pediatric Dentistry
40105 Grand River Ave Ste 2,
Novi, Michigan |
| Zip: | 48375-2170 |
| Phone Number: | 248-478-3232 |
Patients can reach Olde Orchard Pediatric Dentistry at
40105 Grand River Ave Ste 2, Novi, Michigan or can
call to book an appointment on 248-478-3232.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.