Facial Beauty Dental, PLLC
Organization Active NPI General Practice Dentistry · Wixom, MI
NPI 1063804334 · NPPES record last updated Feb 24, 2015
Key facts
- NPI
- 1063804334
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2901013824 (MI)
- Legal business name
- FACIAL BEAUTY DENTAL, PLLC
- Practice address
- 3255 W Maple Rd
Wixom, MI 48393-4585 - Phone
- (248) 669-4141
- NPI assigned
- Feb 24, 2015
- Organization subpart
- No
Authorized official
- Name
- Gordon Phillip Smith, D.D.S.
- Title
- Owner
- Phone
- (248) 669-4141
National Provider Directory
Locations
3255 W Maple Rd
Wixom, MI 48393
Phone (248) 669-4141
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 2901013824 | MI | Yes |
Addresses
Primary practice location
3255 W Maple Rd
Wixom, MI 48393-4585
Mailing address
3255 W Maple Rd
Wixom, MI 48393-4585
Phone (248) 669-4141
Other providers in Wixom, MI
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- Kathryn Ally Fabian Stetler
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- Joy Fakhouri
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All providers in Wixom, MI · General Practice Dentistry in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.