Elite Smile Family Dentistry PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ELITE SMILE FAMILY DENTISTRY PLLC

Practice address

17043 Ridge Rd
Northville, MI 48168-9555

Phone

(734) 709-6861

NPI assigned

Aug 2, 2023

Organization subpart

No

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

Authorized official

Name

Tosha M PatelNPI 1508596669

Title

Owner

Phone

(734) 709-6861

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tosha Maheshkumar Patel

  • General Practice Dentistry
  • Southfield, MI
  • NPI 1508596669
  NPD Authorized official

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1821770520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21312 SUMMERBREEZE DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671867",
            "telephone_number": "734-709-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17043 RIDGE RD",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481689555",
            "telephone_number": "734-709-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SMILE FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "TOSHA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-709-6861"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Erinn Lorraine Elhardt, MS OTR/L
• Elisha Etienne LLC
• Shirley Ellington
• Sandra L Elliott, F.N.P.
• Dawn Enderle, CD(DONA)
• Lauren Justine Enfroy, LPC
• Dennis E. Engerer, P.T.

• Dental Clinic/Center in Northville, MI
• Providers in Northville, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.