Organization Active NPI

Lifetouch Smiles

  • Periodontics
  • Monroe, MI
National Provider Identifier
1437892940
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
LIFETOUCH SMILES
Practice address
1262 N Macomb St
Monroe, MI 48162-3197
Phone
(734) 241-6166
NPI assigned
Apr 14, 2022
Last updated
Apr 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Authorized official

Name
Dawlat Hasso, DDSNPI 1699884767
Title
Business Owner
Phone
(734) 241-6166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X NU Primary
Dental Clinic/Center 261QD0000X NU

Addresses

Primary practice location

1262 N Macomb St
Monroe, MI 48162-3197

Mailing address

1262 N Macomb St
Monroe, MI 48162-3197
Phone (734) 241-6166

National Provider Directory

National Provider Directory

Locations

1262 N Macomb St
Monroe, MI 48162
Phone (734) 241-6166

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649894400000",
    "number": "1437892940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1262 N MACOMB ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623197",
            "telephone_number": "734-241-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1262 N MACOMB ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623197",
            "telephone_number": "734-241-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETOUCH SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-14",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A",
        "authorized_official_last_name": "HASSO",
        "authorized_official_first_name": "DAWLAT",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "734-241-6166",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.