Organization Active NPI

Smile Detroit PC

  • Dentist
  • Royal Oak, MI
National Provider Identifier
1851100168
Registry record updated Jan 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SMILE DETROIT PC
Practice address
809 W 11 Mile Rd
Royal Oak, MI 48067-2447
Phone
(313) 485-7369
NPI assigned
Jan 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2025

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

Authorized official

Name
Anthonio Collins McFadden, DDSNPI 1013798016
Title
Dentist
Phone
(313) 485-7369

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

809 W 11 Mile Rd
Royal Oak, MI 48067-2447

Mailing address

809 W 11 Mile Rd
Royal Oak, MI 48067-2447

National Provider Directory

National Provider Directory

Locations

809 W 11 Mile Rd
Royal Oak, MI 48067
Phone (248) 547-8730

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1735689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735689600000",
    "number": "1851100168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 W 11 MILE RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480672447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 W 11 MILE RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480672447",
            "telephone_number": "313-485-7369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE DETROIT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-01",
        "last_updated": "2025-01-01",
        "certification_date": "2025-01-01",
        "status": "A",
        "authorized_official_last_name": "MCFADDEN",
        "authorized_official_first_name": "ANTHONIO",
        "authorized_official_middle_name": "COLLINS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "313-485-7369",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2025; 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.