Organization Active NPI

G. Dino Tolias,D.D.S. P.C.

Doing business as Gentle Dentist-Smile Spa

  • General Practice Dentistry
  • Saint Clair Shores, MI
National Provider Identifier
1952405169
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11137 Issued in MI
Legal business name
G. DINO TOLIAS,D.D.S. P.C.
Doing business as
Gentle Dentist-Smile Spa
Practice address
28503 Little Mack Ave
Saint Clair Shores, MI 48081-1119
Phone
(586) 771-1990
Fax
(586) 771-9285
NPI assigned
Sep 8, 2006
Last updated
Jul 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Authorized official

Name
Ms. Deborah A Gdula
Title
Office Manager
Phone
(586) 771-1990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11137 MI Primary

Addresses

Primary practice location

28503 Little Mack Ave
Saint Clair Shores, MI 48081-1119

Mailing address

28503 Little Mack Ave
Saint Clair Shores, MI 48081-1119
Phone (586) 771-1990

Other names 1

  • Gentle Dentist-Smile Spa Doing business as

National Provider Directory

National Provider Directory

Locations

28503 Little Mack Ave
Saint Clair Shores, MI 48081
Phone (248) 771-1990

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1952405169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28503 LITTLE MACK AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811119",
            "telephone_number": "586-771-1990",
            "fax_number": "586-771-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28503 LITTLE MACK AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811119",
            "telephone_number": "586-771-1990",
            "fax_number": "586-771-9285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G. DINO TOLIAS,D.D.S. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "GDULA",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "586-771-1990",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "11137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentle Dentist-Smile Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.