Healthy Smiles Dental Care LLC

Primary specialty

DentistTaxonomy code 122300000X

License

015703 Issued in MI

Legal business name

HEALTHY SMILES DENTAL CARE LLC

Practice address

227 E Main St
Manchester, MI 48158-9312

Phone

(734) 428-8000

NPI assigned

Dec 8, 2009

Last updated

Apr 20, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steven Rodriguez

Title

Sole MBR

Phone

(734) 475-8911

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271721600000",
    "number": "1841529609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 E MAIN ST",
            "city": "MANCHESTER",
            "state": "MI",
            "postal_code": "481589312",
            "telephone_number": "734-428-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 E MAIN ST",
            "city": "MANCHESTER",
            "state": "MI",
            "postal_code": "481589312",
            "telephone_number": "734-428-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY SMILES DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-08",
        "last_updated": "2010-04-20",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "734-475-8911"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "015703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia J Fall, PMHNP-BC
• Brooke Fuller, AT, ATC
• Great Lakes Bay Health Centers
• Debra Hauser, PT
• Gary V Haynes, PA
• Theresa Herron
• Heather Huber, NP
• Jessica Joy Humphrey, OD
• Nora Miriam Keith, AGACNP-BC
• Larock Dental

• Dentist in Manchester, MI
• Providers in Manchester, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; 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.