Unique Smiles Dental

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

UNIQUE SMILES DENTAL

Doing business as

Unique Smiles Dental

Practice address

28315 Hoover Rd
Warren, MI 48093-4151

Phone

(586) 573-4042

Fax

(586) 573-7544

NPI assigned

Jun 11, 2019

Organization subpart

No

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

Authorized official

Name

Michael J Herringshaw, DDSNPI 1033289251

Title

Dentist

Phone

(586) 573-4042

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Unique Smiles Dental Doing business as

Electronic endpoints 1

Tax ID family

Michael J Herringshaw DDS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Michael J Herringshaw DDS

  dba Unique Smiles Dental

  • Public Health Dentistry
  • Warren, MI
  • NPI 1295462158
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael James Herringshaw, DDS

  • General Practice Dentistry
  • Warren, MI
  • NPI 1033289251
  NPD Authorized official

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1063071249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28315 HOOVER RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480934151",
            "telephone_number": "586-573-4042",
            "fax_number": "586-573-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28315 HOOVER RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480934151",
            "telephone_number": "586-573-4042",
            "fax_number": "586-573-7544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIQUE SMILES DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "HERRINGSHAW",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "586-573-4042",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033289251",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@uniquesmiles.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "28315 Hoover Rd",
            "city": "Warren",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480934151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Unique Smiles Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Warren, MI
• Providers in Warren, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.