U.P. Superior Smiles

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

Legal business name

U.P. SUPERIOR SMILES

Practice address

3125 Smart Rd
Sault Sainte Marie, MI 49783

Phone

(906) 630-6197

NPI assigned

May 6, 2022

Organization subpart

No

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

Authorized official

Name

Lynda Ann Gregorini, RDH

Title

Executive Director

Phone

(906) 630-6197

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1659017341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4234 I 75 BUSINESS SPUR # 218",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497833620",
            "telephone_number": "906-630-6197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 SMART RD",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "49783",
            "telephone_number": "906-630-6197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "U.P. SUPERIOR SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "GREGORINI",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "906-630-6197",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie A Trestrail, RD
• Tri-County Home Medical Equipment & Repairs LLC
• Alec Joseph Tuchowski, AGPCNP-BC
• Courtney Tyner
• U.P. Stress Center Psychological Solutions
• Laura Kay Ullery, DPT
• Up Superior Enterprises Inc
• Bryan Upham, PT, DPT
• Mohammed Tariq Vakani, M.D.
• Malaisha Van

• Dental Hygienist in Sault Sainte Marie, MI
• Providers in Sault Sainte Marie, MI by specialty
• Dental Hygienist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.