Organization Active NPI

Smile Forever Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fowlerville, MI
National Provider Identifier
1043581606
Registry record updated Jan 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
2901020130 Issued in MI
Legal business name
SMILE FOREVER ORTHODONTICS
Practice address
175 E Van Riper Rd
Box 945
Fowlerville, MI 48836-8942
Phone
(517) 223-4496
NPI assigned
Jan 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2012

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

Authorized official

Name
Manpreet Chahal, DMD
Title
Owner
Phone
(517) 223-3779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 2901020130 MI Primary

Addresses

Primary practice location

175 E Van Riper Rd
Box 945
Fowlerville, MI 48836-8942

Mailing address

175 E Van Riper Rd
Box 945
Fowlerville, MI 48836-8942
Phone (517) 223-4496

National Provider Directory

National Provider Directory

Locations

175 E Van Riper Rd
#945
Fowlerville, MI 48836
Phone (517) 223-4496

NPI Registry JSON

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1043581606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 E VAN RIPER RD",
            "address_2": "BOX 945",
            "city": "FOWLERVILLE",
            "state": "MI",
            "postal_code": "488368942",
            "telephone_number": "517-223-4496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 E VAN RIPER RD",
            "address_2": "BOX 945",
            "city": "FOWLERVILLE",
            "state": "MI",
            "postal_code": "488368942",
            "telephone_number": "517-223-4496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE FOREVER ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-13",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "CHAHAL",
        "authorized_official_first_name": "MANPREET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-223-3779",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MI",
            "license": "2901020130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fowlerville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; 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.