Organization Active NPI

The Graceful Smile Solutions

  • Dentist
  • Milan, MI
National Provider Identifier
1104435783
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
THE GRACEFUL SMILE SOLUTIONS
Practice address
49 E Main St
Milan, MI 48160-1476
Phone
(734) 508-7088
NPI assigned
Jul 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Authorized official

Name
Maria Krohl
Title
Office Manager
Phone
(734) 680-5772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

49 E Main St
Milan, MI 48160-1476

Mailing address

49 E Main St
Milan, MI 48160-1476
Phone (734) 508-7088

Other identifiers 1

IdentifierTypeStateIssuer
1598077414MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@thegracefulsmiledental.com Direct

National Provider Directory

National Provider Directory

Locations

49 E Main St
Milan, MI 48160
Phone (734) 369-9300

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": "1595980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1104435783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 E MAIN ST",
            "city": "MILAN",
            "state": "MI",
            "postal_code": "481601476",
            "telephone_number": "734-508-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 E MAIN ST",
            "city": "MILAN",
            "state": "MI",
            "postal_code": "481601476",
            "telephone_number": "734-508-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GRACEFUL SMILE SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "KROHL",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "734-680-5772"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598077414",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@thegracefulsmiledental.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "maria@thegracefulsmiledental.com",
            "address_1": "49 E Main St",
            "city": "Milan",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481601476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milan, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.