Wilson George Smillie, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9791 Issued in MI

Practice address

567 N Hewitt Rd
Ypsilanti, MI 48197-1812

Phone

(734) 434-1211

Fax

(734) 434-8615

NPI assigned

Oct 23, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225111420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 WOODSIDE RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044517",
            "telephone_number": "734-769-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 N HEWITT RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971812",
            "telephone_number": "734-434-1211",
            "fax_number": "734-434-8615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMILLIE",
        "first_name": "WILSON",
        "middle_name": "GEORGE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "9791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Sluder
• Michaela Sluis, CRNA
• Margaret L Smail
• Smart Medical Equipment, Inc.
• Smillie & Hoitenga DDS PLLC
• Alexis Zachery Smith
• Ashley M Smith, CRNA
• Brett Smith, PSYD
• Brianna Marie Smith, LLMSW
• Christine Smith

• General Practice Dentistry in Ypsilanti, MI
• Providers in Ypsilanti, 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 Jul 8, 2007; 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.