Redwood Dental of Illinois PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

REDWOOD DENTAL OF ILLINOIS PLLC

Doing business as

Smile Partners USA

Practice address

800 Kirts Blvd Ste 650
Troy, MI 48084-4878

Phone

(248) 842-3670

Fax

(586) 991-1933

NPI assigned

Dec 15, 2020

Organization subpart

No

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

Authorized official

Name

Brittany Chapman

Title

Credentialing Manager

Phone

(248) 842-3670

Specialties & licenses 1

Addresses

Other names 1

• Smile Partners USA Doing business as

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1457947384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 KIRTS BLVD STE 650",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844850",
            "telephone_number": "248-842-3670",
            "fax_number": "586-991-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 KIRTS BLVD STE 650",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844878",
            "telephone_number": "248-842-3670",
            "fax_number": "586-991-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD DENTAL OF ILLINOIS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-15",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "248-842-3670"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Partners USA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Smile Partners USA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vinay K Reddy, M.D.
• Redefined Counseling Services PLLC
• Redwood Dental Group PC
• Redwood Dental of Georgia PC
• Redwood Dental of Illinois II PLLC
• Alice Reece
• Amanda Reed
• April P Reed
• Philip Reed, MD
• Shawta Reed

• Dentist in Troy, MI
• Providers in Troy, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.