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Contact Information

SUPERIOR SMILES
1550 WEST QUINCY ST
HANCOCK, MI49930
 Phone: 906-482-3621
 Fax: 906-482-3676
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for SUPERIOR SMILES

NPI Number 1861703258
LBN Legal business name SUPERIOR SMILES
Authorized official NICOLE HEBNER - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/30/2010
Last updated 06/30/2010 - About 16 years ago
Identifiers
MI License # 2901016316
MI Medicaid 4930642
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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