Organization Active NPI

Healthy Smiles Dental Care of Dexter

  • Dentist
  • Dexter, MI
National Provider Identifier
1659771509
Registry record updated Aug 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
HEALTHY SMILES DENTAL CARE OF DEXTER
Practice address
9477 N Territorial Rd
Ste 130
Dexter, MI 48130-8583
Phone
(734) 726-7644
Fax
(734) 629-4143
NPI assigned
Aug 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2014

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

Authorized official

Name
Mr. James Joseph Oneil
Title
Coo
Phone
(734) 726-7644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X MI Primary

Addresses

Primary practice location

9477 N Territorial Rd
Ste 130
Dexter, MI 48130-8583

Mailing address

9477 N Territorial Rd
Ste 130
Dexter, MI 48130-8583
Phone (734) 726-7644

National Provider Directory

National Provider Directory

Locations

64 Park St
Dexter, ME 04930
Phone (207) 924-5516

NPI Registry JSON

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409184000000",
    "number": "1659771509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9477 N TERRITORIAL RD",
            "address_2": "STE 130",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481308583",
            "telephone_number": "734-726-7644",
            "fax_number": "734-629-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9477 N TERRITORIAL RD",
            "address_2": "STE 130",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481308583",
            "telephone_number": "734-726-7644",
            "fax_number": "734-629-4143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY SMILES DENTAL CARE OF DEXTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-28",
        "last_updated": "2014-08-28",
        "status": "A",
        "authorized_official_last_name": "ONEIL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "734-726-7644",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dexter, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.