Active NPI
Premier Smiles
- Dental Clinic/Center
- Hamtramck, MI
National Provider Identifier
1699413971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- PREMIER SMILES
- Practice address
- 9824 Conant St
Hamtramck, MI 48212-3309 - Phone
- (313) 800-5758
- Fax
- (313) 800-5759
- NPI assigned
- May 25, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ranim Suliman
- Title
- Dentist
- Phone
- (248) 298-6008
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
9824 Conant St
Hamtramck, MI 48212-3309
Mailing address
9824 Conant St
Hamtramck, MI 48212-3309
Phone (313) 800-5758
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2901600645 | Other | MI | STATE LICENSE |
National Provider Directory
National Provider DirectoryLocations
9824 Conant St
Hamtramck, MI 48212
Phone (313) 285-9766
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Hamtramck, MI
- NPI 1013514538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653436800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653436800000",
"number": "1699413971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9824 CONANT ST",
"city": "HAMTRAMCK",
"state": "MI",
"postal_code": "482123309",
"telephone_number": "313-800-5758",
"fax_number": "313-800-5759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9824 CONANT ST",
"city": "HAMTRAMCK",
"state": "MI",
"postal_code": "482123309",
"telephone_number": "313-800-5758",
"fax_number": "313-800-5759"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER SMILES",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-25",
"last_updated": "2022-05-25",
"certification_date": "2022-05-09",
"status": "A",
"authorized_official_last_name": "SULIMAN",
"authorized_official_first_name": "RANIM",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "248-298-6008"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "2901600645",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hamtramck, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.