Smile Fresh Troy, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SMILE FRESH TROY, P.C.

Doing business as

Smile Fresh Dental

Practice address

1059 Owendale Dr
Troy, MI 48083-1913

Phone

(248) 906-8805

NPI assigned

Nov 20, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Fauzi Raziuddin

Title

Manager

Phone

(248) 906-8805

Specialties & licenses 1

Addresses

Other names 1

• Smile Fresh Dental Doing business as

Practitioners 1

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

• Zareena Banu, D.D.S.

  • General Practice Dentistry
  • Farmington Hills, MI
  • NPI 1629163985
  NPD

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1346015336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1059 OWENDALE DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831913",
            "telephone_number": "248-906-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1059 OWENDALE DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831913",
            "telephone_number": "248-906-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE FRESH TROY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A",
        "authorized_official_last_name": "RAZIUDDIN",
        "authorized_official_first_name": "FAUZI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-906-8805",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Fresh Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles Eugene Smart, MD
• Angela M Smet, MD
• Smi Care of Mi II, LLC
• Smi Care of Mi, LLC
• Smile Centers PC
• Alicia Sharaim Smiley-Fuller
• Rebecca Marie Smith-Darner, M.A. CCC-SLP
• Alexis Smith, PA-C
• Alicia Kay Smith
• Caren K Smith, MA, LLP

• General Practice Dentistry in Troy, MI
• Providers in Troy, 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 Nov 20, 2023; 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.