Healthcare Provider Details

I. General information

NPI: 1639413933
Provider Name (Legal Business Name): SAVING SMILES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2012
Last Update Date: 02/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20720 PLYMOUTH RD
DETROIT MI
48228-1275
US

IV. Provider business mailing address

27201 RYAN RD
WARREN MI
48092-5127
US

V. Phone/Fax

Practice location:
  • Phone: 313-342-1997
  • Fax: 313-416-1405
Mailing address:
  • Phone: 313-863-2800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License Number2901007381
License Number StateMI

VIII. Authorized Official

Name: PAMELA HYDE
Title or Position: MANAGER
Credential:
Phone: 313-863-2800