James Cantwil, DDS

Individual provider Active NPI General Practice Dentistry · Flushing, MI

NPI 1497733968 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1497733968
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
015021 (MI)
Practice address
6210 W Pierson Rd
Flushing, MI 48433-2339
Phone
(810) 733-6677
Fax
(810) 733-7735
NPI assigned
Jan 5, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20080515000602 MI Practitioner - Oral Surgery 0840369997 Practice locations: Flushing, MI

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
015021MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Smile Flushing PLLC Past
since May 11, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 015021 MI Yes

Addresses

Primary practice location

6210 W Pierson Rd
Flushing, MI 48433-2339

Mailing address

6210G W Pierson Rd
Flushing, MI 48433-2339
Phone (810) 733-6677

Other identifiers

IdentifierTypeStateIssuer
4754044MedicaidMI

Other providers in Flushing, MI

All providers in Flushing, MI · General Practice Dentistry in Michigan

Sources for this page

Verify at the official NPI Registry.