97 Smiles of Madison Heights

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

97 SMILES OF MADISON HEIGHTS

Practice address

1190 E 12 Mile Rd
Madison Heights, MI 48071-2665

Phone

(248) 955-9727

NPI assigned

Jun 24, 2026

Last updated

Jun 24, 2026By 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

Susan Dunford

Title

Billing & Credentialing Manager

Phone

(313) 342-1997

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1782259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782259200000",
    "number": "1679499727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 E 12 MILE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712665",
            "telephone_number": "248-955-9727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 E 12 MILE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712665",
            "telephone_number": "248-955-9727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "97 SMILES OF MADISON HEIGHTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-24",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A",
        "authorized_official_last_name": "DUNFORD",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "BILLING & CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "313-342-1997"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Madison Heights, MI
• Providers in Madison Heights, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; 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.