Michigan Restorative Institute, PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MICHIGAN RESTORATIVE INSTITUTE, PLLC

Doing business as

New Era Dental
Smile Zone Dental

Practice address

4036 24TH Ave
Fort Gratiot, MI 48059-3800

Phone

(810) 385-9766

NPI assigned

Nov 28, 2018

Last updated

Apr 23, 2021By 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

Michael Schaaf

Title

Director of Operations

Phone

(269) 217-6442

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 2

• New Era Dental Doing business as
• Smile Zone Dental Doing business as

Tax ID family

Michigan Restorative Institute PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Smile Zone PLLC

  dba Smile Zone Dental

  • Dentist
  • Monroe, MI
  • NPI 1477134112
  NPD tax ID

Locations

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619136000000",
    "number": "1356811756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4036 24TH AVE",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480593800",
            "telephone_number": "810-385-9766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4036 24TH AVE",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480593800",
            "telephone_number": "810-385-9766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN RESTORATIVE INSTITUTE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-28",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A",
        "authorized_official_last_name": "SCHAAF",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "269-217-6442"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "2901021060",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "2901022057",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "2901022068",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "2901022154",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "2901022368",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Era Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Smile Zone Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shilpa Mehta, PT
• Meijer Inc (Meijer Pharmacy #163)
• Bria Alise Mercurio
• Mercy Surgery Care Network (Mercy Endocrinology)
• W. Scott Meyer, DDS
• Michigan Restorative Institute, PLLC (New Era Dental)
• Bryan Mihai
• Madelyne Mackenzie Millar
• Alyssa Miller
• Robert William Miller

• Dentist in Fort Gratiot, MI
• Providers in Fort Gratiot, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.