Smile Doctors of Michigan PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

SMILE DOCTORS OF MICHIGAN PC

Practice address

13945 Panther Dr
Dewitt, MI 48820-8506

Phone

(517) 669-5833

NPI assigned

Apr 20, 2020

Organization subpart

No

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

Authorized official

Name

Gregory Goggans, DMD

Title

President

Phone

(254) 727-3131

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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

• Andrew Thomas Daabous, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Taylor, MI
  • NPI 1104329473
  NPD (past)
• Michael L Lanzetta, D.D.S, P.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Taylor, MI
  • NPI 1326269697
  NPD (past)

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

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653004800000",
    "number": "1376163345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674441",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752674441",
            "telephone_number": "254-727-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13945 PANTHER DR",
            "city": "DEWITT",
            "state": "MI",
            "postal_code": "488208506",
            "telephone_number": "517-669-5833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5238 W St Joseph Hwy #1",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "48917",
            "country_code": "US",
            "telephone_number": "517-321-4375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20392 Eureka Rd",
            "address_purpose": "LOCATION",
            "city": "Taylor",
            "state": "MI",
            "postal_code": "481805310",
            "country_code": "US",
            "telephone_number": "734-284-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SMILE DOCTORS OF MICHIGAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-20",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A",
        "authorized_official_last_name": "GOGGANS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "254-727-3131",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leigh Shindelar, M.A., LPC
• Nikol Shllaku, PHARMD
• Mary Sieben, RPH
• Hannah Simon
• Andrea K Simons, DPM
• Kaitlyn A Smith, PHARMD
• Monica Magdalyn Spicer, MA, LPC
• Peggy Jean Steiniger
• Jeaneen Stephansky, LMSW
• Danielle Marie Stiver, LLMSW

• Orthodontics and Dentofacial Orthopedics Dentistry in Dewitt, MI
• Providers in Dewitt, MI by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.