Active NPI
Lifetouch Smiles
- Periodontics
- Monroe, MI
National Provider Identifier
1437892940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dawlat Hasso, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Dentist
- Monroe, MI
- NPI 1699884767
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.