Smile Clinic of Berkley

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

2901021613 Issued in MI

Legal business name

SMILE CLINIC OF BERKLEY

Practice address

3211 Coolidge Hwy
Berkley, MI 48072-1633

Phone

(248) 541-2588

NPI assigned

Dec 21, 2017

Last updated

Dec 21, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Yaser Shaheen, DMD

Title

Dentist/Owner

Phone

(248) 541-2588

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513814400000",
    "number": "1619483054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 COOLIDGE HWY",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 COOLIDGE HWY",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721633",
            "telephone_number": "248-541-2588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE CLINIC OF BERKLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-21",
        "last_updated": "2017-12-21",
        "status": "A",
        "authorized_official_last_name": "SHAHEEN",
        "authorized_official_first_name": "YASER",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "248-541-2588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "2901021613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Siegel
• Donna Jean Simmons, NBC-HWC
• Linda E Simons, RPH
• Karl David Sinclair, P.A.-C
• Lauren Sloan
• Alexandra Gerra Smith, LLMSW
• Haley Smith, PA-C
• Richard M Smith, BS
• Shaina Liberson Smith, LMSW
• Jamie Soli, RDH

• Dental Clinic/Center in Berkley, MI
• Providers in Berkley, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2017; 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.