NPIMap

Organization Active NPI

Restoring Smiles

  • Dentist
  • Millington, MI
National Provider Identifier
1114965621
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901016238 Issued in MI
Legal business name
RESTORING SMILES
Practice address
4780 Industrial Drive
Millington, MI 48746
Phone
(989) 871-4576
Fax
(989) 871-4585
NPI assigned
Jun 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Timothy Patrick Carney, DDSNPI 1336365592
Title
Dentist Owner
Phone
(989) 871-4576

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 2901016238 MI Primary

Addresses

Primary practice location

4780 Industrial Drive
Millington, MI 48746

Mailing address

PO Box 586
4780 Industrial Drive
Millington, MI 48746
Phone (989) 871-4576

National Provider Directory

National Provider Directory

Locations

4780 Industrial Dr
Millington, MI 48746
Phone (989) 871-4576

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": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114965621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 586",
            "address_2": "4780 INDUSTRIAL DRIVE",
            "city": "MILLINGTON",
            "state": "MI",
            "postal_code": "48746",
            "telephone_number": "989-871-4576",
            "fax_number": "989-871-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4780 INDUSTRIAL DRIVE",
            "city": "MILLINGTON",
            "state": "MI",
            "postal_code": "48746",
            "telephone_number": "989-871-4576",
            "fax_number": "989-871-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORING SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARNEY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "989-871-4576",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901016238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millington, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.