Smiles of Grand River PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901021018 Issued in MI

Legal business name

SMILES OF GRAND RIVER PLLC

Practice address

30033 Shefpo St
New Hudson, MI 48165-2300

Phone

(734) 707-8764

Fax

(248) 247-1461

NPI assigned

Apr 12, 2016

Organization subpart

No

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

Authorized official

Name

James A Shaheen

Title

Owner

Phone

(734) 707-8764

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1710341102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30033 SHEFPO ST",
            "address_2": "PO BOX 134",
            "city": "NEW HUDSON",
            "state": "MI",
            "postal_code": "481652300",
            "telephone_number": "734-707-8764",
            "fax_number": "248-247-1461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30033 SHEFPO ST",
            "city": "NEW HUDSON",
            "state": "MI",
            "postal_code": "481652300",
            "telephone_number": "734-707-8764",
            "fax_number": "248-247-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES OF GRAND RIVER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-12",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "SHAHEEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-707-8764"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901021018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey J Schwarzkopf
• Senechal Family Chiropractic, PC
• Alisha Marie Senechal, D.C., CACCP
• Serendipity Private Duty & Respite Home Health Care, LLC
• James A Shaheen, D.D.S.
• Karrie Sobiesiak, RNBSN, CCM
• Stephanie Olivia Spitery, PA-C
• Karen Baumeister Springer, PTA
• Jennifer Anne Steger, M.S., CCC-SLP
• Brandi Denise Sykes, NP

• General Practice Dentistry in New Hudson, MI
• Providers in New Hudson, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.