Organization Active NPI

Lasting Smile Dental

  • Dental Clinic/Center
  • Washington, MI
National Provider Identifier
1689438079
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LASTING SMILE DENTAL
Doing business as
Lasting Smile Dental
Practice address
57850 Van Dyke Rd Ste 500
Washington, MI 48094-3827
Phone
(586) 207-1091
NPI assigned
Feb 7, 2024
Last updated
Feb 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Authorized official

Name
Dr. Lana Tello-AbedNPI 1245384122
Title
President
Phone
(586) 838-9698

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

57850 Van Dyke Rd Ste 500
Washington, MI 48094-3827

Mailing address

57850 Van Dyke Rd Ste 500
Washington, MI 48094-3827
Phone (586) 207-1091

Other names 1

  • Lasting Smile Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1689438079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57850 VAN DYKE RD STE 500",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "480943827",
            "telephone_number": "586-207-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57850 VAN DYKE RD STE 500",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "480943827",
            "telephone_number": "586-207-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASTING SMILE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "TELLO-ABED",
        "authorized_official_first_name": "LANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-838-9698",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lasting Smile Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.