Fenton Smiles PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FENTON SMILES PLLC

Practice address

3309 W Silver Lake Rd
Fenton, MI 48430-1333

Phone

(810) 354-5313

NPI assigned

Feb 16, 2020

Last updated

Feb 16, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alex Lee Givens, DDSNPI 1457730921

Title

Owner

Phone

(989) 415-6896

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alex Lee Givens, D.D.S

  • General Practice Dentistry
  • Frankenmuth, MI
  • NPI 1457730921
  NPD Authorized official

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

{
    "created_epoch": "1581811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581811200000",
    "number": "1316570526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10357 MAPLE RD",
            "city": "BIRCH RUN",
            "state": "MI",
            "postal_code": "484158469",
            "telephone_number": "989-415-6896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3309 W SILVER LAKE RD",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484301333",
            "telephone_number": "810-354-5313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FENTON SMILES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-16",
        "last_updated": "2020-02-16",
        "certification_date": "2020-02-16",
        "status": "A",
        "authorized_official_last_name": "GIVENS",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-415-6896",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fenton Pharmacy LLC
• Fenton Pharmacy RX Mi LLC
• Fenton Pharmacy RX Mi LLC
• Fenton Physical Therapy, LLC (Fenton PT)
• Fenton Professionals LLC
• Fenton Therapy Services LLC
• Fenton Vision Sensory and Learning Center PLLC
• Fenton Wellness (Jennifer Flack)
• Jessica Ferguson, M.ED, BCBA, LBA
• Regina Mae Ferguson, FNP

• General Practice Dentistry in Fenton, MI
• Providers in Fenton, 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 16, 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.