Nice Smile Dentistry PC

Primary specialty

DentistTaxonomy code 122300000X

License

2901017752 Issued in MI

Legal business name

NICE SMILE DENTISTRY PC

Practice address

1052 E West Maple Rd
Walled Lake, MI 48390-3571

Phone

(248) 624-5533

NPI assigned

Jan 13, 2018

Organization subpart

No

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

Authorized official

Name

Dr. George Georges Chabiaaa, DDS

Title

President

Phone

(248) 624-5533

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• George Georges Chabiaa, D.D.S.,

  • Dentist
  • Walled Lake, MI
  • NPI 1922173806
  NPD
• Nelson J Sherburne, DDS

  • General Practice Dentistry
  • Walled Lake, MI
  • NPI 1902019177
  NPD (past)

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

{
    "created_epoch": "1515801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515801600000",
    "number": "1063920932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1052 E WEST MAPLE RD",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903571",
            "telephone_number": "313-269-4564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1052 E WEST MAPLE RD",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903571",
            "telephone_number": "248-624-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICE SMILE DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-13",
        "last_updated": "2018-01-13",
        "status": "A",
        "authorized_official_last_name": "CHABIAAA",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "GEORGES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-624-5533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901017752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922173806",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Nicole Musko
• Terri Ellen Myers
• Mohammad Navai, M.D
• Ella Nemitz
• Marsha Nemon, NCMT
• O Dell Chiropractic Center PC
• Randolph Clay O'Dell, D.C.
• Amanda Nicole O'Rourke, FNP
• Jordyn O'Rourke
• Oakland Pediatrics, PLC

• Dentist in Walled Lake, MI
• Providers in Walled Lake, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2018; 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.