Healthcare Provider Details

I. General information

NPI: 1710892781
Provider Name (Legal Business Name): ISLA SMILES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2026
Last Update Date: 08/15/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1058 N IRISH RD
DAVISON MI
48423-2209
US

IV. Provider business mailing address

1058 N IRISH RD
DAVISON MI
48423-2209
US

V. Phone/Fax

Practice location:
  • Phone: 810-653-4100
  • Fax:
Mailing address:
  • Phone: 810-653-4100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: HAYK SNKHTCHYAN
Title or Position: DENTIST/PRACTICE OWNER
Credential: DDS
Phone: 248-275-3244