DOCSMILE DENTAL CENTER NPI 1417179466

NPI Information

NPI: 1417179466
Provider Name: DOCSMILE DENTAL CENTER
Classification: Dental Laboratory - 292200000X
Entity Type: Organization
Address:
18601 MACK AVE
GROSSE POINTE, MI
ZIP 48236
Phone: (800) 362-7645
Get Directions

DOCSMILE DENTAL CENTER is a dental laboratory in Grosse Pointe, MI. The provider is a commercial laboratory specializing in the construction of dental appliances that conform to a dentist's specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays. DOCSMILE DENTAL CENTER NPI is 1417179466. The provider is registered as an organization entity type.

The provider's business location address is:

18601 MACK AVE
GROSSE POINTE, MI
ZIP 48236-250
Phone: (800) 362-7645

The provider's authorized official is Tracey E Johnson-robinson .
The authorized official title is Administrator and has the following contact phone number (800) 362-7645.

The enumeration date for this NPI number is 5/2/2007 and was last updated on 10/7/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	292200000X	Dental Laboratory		2901015328	MICHIGAN	No
2	292200000X	Dental Laboratory		2901011576	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2737563	MEDICAID	MICHIGAN
2	4490053	MEDICAID	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »