Active NPI
Smile Envy PLLC
- General Practice Dentistry
- Farmington Hills, MI
National Provider Identifier
1841982626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- SMILE ENVY PLLC
- Practice address
- 30969 Orchard Lake Rd
Farmington Hills, MI 48334-1338 - Phone
- (586) 354-3903
- NPI assigned
- May 22, 2023
- Last updated
- Jun 1, 2023
- 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
- Odette Haouilou
- Title
- Owner/Dentist
- Phone
- (586) 354-3903
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NU | Primary |
Addresses
Primary practice location
30969 Orchard Lake Rd
Farmington Hills, MI 48334-1338
Mailing address
19 Riverbank Dr
Beverly Hills, MI 48025-4802
Phone (586) 354-3903
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Dentist
- Dearborn, MI
- NPI 1922185982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1685577600000",
"number": "1841982626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 RIVERBANK DR",
"city": "BEVERLY HILLS",
"state": "MI",
"postal_code": "480254802",
"telephone_number": "586-354-3903"
},
{
"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": "586-354-3903"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMILE ENVY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-22",
"last_updated": "2023-06-01",
"certification_date": "2023-06-01",
"status": "A",
"authorized_official_last_name": "HAOUILOU",
"authorized_official_first_name": "ODETTE",
"authorized_official_title_or_position": "OWNER/DENTIST",
"authorized_official_telephone_number": "586-354-3903"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jun 1, 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.