Organization Active NPI

Smile Clinic Mobile Dentistry PC

  • Dental Clinic/Center
  • Allen Park, MI
National Provider Identifier
1063982965
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SMILE CLINIC MOBILE DENTISTRY PC
Practice address
17007 Ecorse Rd
Allen Park, MI 48101-2451
Phone
(313) 388-7720
Fax
(313) 388-8161
NPI assigned
Dec 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2018

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

Authorized official

Name
Mrs. Claudia M Bellew
Title
Office Manager
Phone
(313) 388-7720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

17007 Ecorse Rd
Allen Park, MI 48101-2451

Mailing address

17007 Ecorse Rd
Allen Park, MI 48101-2451
Phone (313) 388-7720

National Provider Directory

National Provider Directory

Locations

17007 Ecorse Rd
Allen Park, MI 48101
Phone (313) 388-7720

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543881600000",
    "number": "1063982965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17007 ECORSE RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012451",
            "telephone_number": "313-388-7720",
            "fax_number": "313-388-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17007 ECORSE RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012451",
            "telephone_number": "313-388-7720",
            "fax_number": "313-388-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE CLINIC MOBILE DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-04",
        "last_updated": "2018-12-04",
        "status": "A",
        "authorized_official_last_name": "BELLEW",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "313-388-7720",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.