Active NPI
Epic Smile Centers of Michigan PLLC
- Dental Clinic/Center
- Farmington Hills, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- EPIC SMILE CENTERS OF MICHIGAN PLLC
- Practice address
- 30969 Orchard Lake Rd
Farmington Hills, MI 48334-1338 - Phone
- (866) 374-2764
- NPI assigned
- Mar 4, 2019
- 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
- Dr. Jared Woolf, DDS
- Title
- Manager
- Phone
- (561) 866-3040
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
30969 Orchard Lake Rd
Farmington Hills, MI 48334-1338
Mailing address
17968 Fieldbrook Cir S
Boca Raton, FL 33496-1531
Phone (561) 866-3040
Other practice location 1
732 W Big Beaver Rd
Troy, MI 48084-4934
Phone (866) 374-2764
Other practice location 2
45001 Ford Rd # 104-D
Canton, MI 48187-2907
Phone (561) 866-3040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770628687 | Other | MI | DENTIST |
National Provider Directory
National Provider DirectoryLocations
45001 Ford Rd
#104D
Canton, MI 48187
Phone (561) 866-3040
732 W Big Beaver Rd
Troy, MI 48084
Phone (248) 897-0202
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Delray Beach, FL
- NPI 1487662417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614729600000",
"number": "1730647272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17968 FIELDBROOK CIR S",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334961531",
"telephone_number": "561-866-3040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30969 ORCHARD LAKE RD",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483341338",
"telephone_number": "866-374-2764"
}
],
"practiceLocations": [
{
"address_1": "732 W Big Beaver Rd",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "MI",
"postal_code": "480844934",
"country_code": "US",
"telephone_number": "866-374-2764",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "45001 Ford Rd # 104-D",
"address_purpose": "LOCATION",
"city": "Canton",
"state": "MI",
"postal_code": "481872907",
"country_code": "US",
"telephone_number": "561-866-3040",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "EPIC SMILE CENTERS OF MICHIGAN PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-04",
"last_updated": "2021-03-03",
"certification_date": "2021-03-03",
"status": "A",
"authorized_official_last_name": "WOOLF",
"authorized_official_first_name": "JARED",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "561-866-3040",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTIST",
"identifier": "1770628687",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.