Dental Smiles of Livonia, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTAL SMILES OF LIVONIA, PC

Practice address

Otsego Dental Group
785 M-32
Gaylord, MI 48735-4873

Phone

(989) 448-2664

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kristal Greniuk-Wioncek, DDSNPI 1194842468

Title

Dentist

Phone

(734) 634-4077

Specialties & licenses 1

Addresses

Practitioners 2

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

• Kristal Greniuk-Wioncek, DDS

  • General Practice Dentistry
  • Gaylord, MI
  • NPI 1194842468
  NPD Authorized official
• Adeeb Haque, DDS

  • Dentist
  • Livonia, MI
  • NPI 1396272324
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1124154539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2385 WOODVALE TRL",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481148149",
            "telephone_number": "734-634-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OTSEGO DENTAL GROUP",
            "address_2": "785 M-32",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "487354873",
            "telephone_number": "989-448-2664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SMILES OF LIVONIA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-21",
        "status": "A",
        "authorized_official_last_name": "GRENIUK-WIONCEK",
        "authorized_official_first_name": "KRISTAL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "734-634-4077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Dalke
• Daniel & Max, LLC
• Daniel P. Moylan D.D.S. PLLC
• David Gast MDPC
• Eric Deitz
• Justin Desloover
• Curtis J. Devries, CRNA
• Dialysis Services of Gaylord, Inc
• Jennifer Dickson
• Niki L Diehl, PT

• General Practice Dentistry in Gaylord, MI
• Providers in Gaylord, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.