Smile Street Dental, PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SMILE STREET DENTAL, PLLC

Practice address

43630 Hayes Rd Ste 230
Clinton TWP, MI 48038-3536

Phone

(586) 263-6800

NPI assigned

Jul 7, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Joshua Colkmire, DDSNPI 1952509358

Title

Owner

Phone

(941) 400-1612

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Joshua Matthew Colkmire, D.D.S.

  • General Practice Dentistry
  • Port Saint Lucie, FL
  • NPI 1952509358
  NPD Authorized official
• Michael John Aiello, D.D.S.

  • General Practice Dentistry
  • Clinton TWP, MI
  • NPI 1609993773
  NPD (past)

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657152000000",
    "number": "1174256010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43630 HAYES RD STE 230",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480383536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43630 HAYES RD STE 230",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480383536",
            "telephone_number": "586-263-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE STREET DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A",
        "authorized_official_last_name": "COLKMIRE",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-400-1612",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abby Jo Skender, MSN, APRN, PMHNP-BC
• Melissa Bonnie Slater, CCHW
• Najoi Sleiman, PT
• Heather Sloney
• Stanley Bruce Smart, PH.D.
• Stephanie L Smiley, PHYSICIAN ASST C
• Ashly Smith-Haggen
• Alexandra Rae Smith, RN
• Annastacia Smith
• Sharon Lynn Smith, R.N.

• Dentist in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.