Clean Smile Dental Inc

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

2902010443 Issued in MI

Legal business name

CLEAN SMILE DENTAL INC

Practice address

2213 N Rosevere Ave
Dearborn, MI 48128-1244

Phone

(313) 704-2886

NPI assigned

Jun 3, 2015

Organization subpart

No

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

Authorized official

Name

Nawal Salame, RDHNPI 1609256866

Title

Owner

Phone

(313) 704-2886

Specialties & licenses 1

Addresses

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.

• Nawal A Salame, RDH

  • Dental Hygienist
  • Dearborn, MI
  • NPI 1609256866
  NPD (past) Authorized official

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1730569997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 144",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481270144",
            "telephone_number": "313-704-2886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 N ROSEVERE AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281244",
            "telephone_number": "313-704-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAN SMILE DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-03",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "SALAME",
        "authorized_official_first_name": "NAWAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-704-2886",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "MI",
            "license": "2902010443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nicole C Clay
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• Devinn Clayton
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• Susan Jean Cleereman, D.D.S.
• Andrea Clegg, NP
• Jessica Dawn Clemons, MA, TLLP
• Trisha Clevenger

• Dental Hygienist in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Dental Hygienist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.