Organization Active NPI

Healthy Smiles

  • Dentist
  • Clawson, MI
National Provider Identifier
1841709953
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901016829 Issued in MI
Legal business name
HEALTHY SMILES
Practice address
53 W Maple Rd
Clawson, MI 48017-1109
Phone
(248) 268-2093
NPI assigned
Sep 21, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Sheretta Oates, DDS
Title
Partner
Phone
(248) 268-2093

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901016829 MI Primary

Addresses

Primary practice location

53 W Maple Rd
Clawson, MI 48017-1109

Mailing address

53 W Maple Rd
Clawson, MI 48017-1109
Phone (248) 268-2093

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1841709953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 W MAPLE RD",
            "city": "CLAWSON",
            "state": "MI",
            "postal_code": "480171109",
            "telephone_number": "248-268-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 W MAPLE RD",
            "city": "CLAWSON",
            "state": "MI",
            "postal_code": "480171109",
            "telephone_number": "248-268-2093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "OATES",
        "authorized_official_first_name": "SHERETTA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "248-268-2093",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901016829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clawson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.