National Provider Identifier Database

DOCSMILE DENTAL CENTER
Dental Laboratory

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.


Contact Information

DOCSMILE DENTAL CENTER
18601 MACK AVE
GROSSE POINTE, MI48236-3250
Phone: 800-362-7645
Fax:
Website:
Specialty Taxonomy Code
* Dental Laboratory 292200000X

* Indicates primary specialty

NPI Profile & details for DOCSMILE DENTAL CENTER

NPI Number 1417179466
Legal business name
LBN
DOCSMILE DENTAL CENTER
Authorized official TRACEY JOHNSON-ROBINSON - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 05/02/2007
Last updated 10/07/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • MI License #: 2901011576
  • MI License #: 2901015328
  • MI Medicaid: 2737563
  • MI Medicaid: 4490053

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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