Smiley Dental of Eight Mile Road, PC

Primary specialty

DentistTaxonomy code 122300000X

License

2901017136 Issued in MI

Legal business name

SMILEY DENTAL OF EIGHT MILE ROAD, PC

Practice address

511 W 8 Mile Rd
Detroit, MI 48203-1004

Phone

(313) 454-4800

Fax

(313) 454-4805

NPI assigned

Aug 19, 2015

Organization subpart

No

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

Authorized official

Name

Donna M Kirchner

Title

Credentialing Manager

Phone

(586) 915-0107

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1699141101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 W 8 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482031004",
            "telephone_number": "313-454-4800",
            "fax_number": "313-454-4805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 W 8 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482031004",
            "telephone_number": "313-454-4800",
            "fax_number": "313-454-4805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILEY DENTAL OF EIGHT MILE ROAD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "KIRCHNER",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "586-915-0107"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901017136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Detroit, MI
• Providers in Detroit, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.