Docsmile Dental Center, NPI 1417179466
Dental Laboratory in Grosse Pointe, MI, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1417179466 |
| NPI Entity Type | Organization |
| Provider Name | Docsmile Dental Center |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 18601 Mack Ave, Grosse Pointe, MI, US |
| Provider Mailing Address | Po Box 1082, Dearborn, MI, US, 481211082 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MRS. Tracey E Johnson-robinson |
| Official Position | ADMINISTRATOR |
| Phone | 800-362-7645 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Dental Laboratory |
| Classification | |
| Group | |
| License No. | 2901011576 |
| License State | MI |
| Description | 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. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 2901015328 | MI | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 2737563 | MI | MEDICAID | 05 |
| 4490053 | MI | MEDICAID | 05 |
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