Healthcare Provider Details

I. General information

NPI: 1710777974
Provider Name (Legal Business Name): SMILE FLUSHING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2025
Last Update Date: 05/10/2025
Certification Date: 05/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6210 W PIERSON RD
FLUSHING MI
48433-2339
US

IV. Provider business mailing address

6210 W PIERSON RD
FLUSHING MI
48433-2339
US

V. Phone/Fax

Practice location:
  • Phone: 810-733-6677
  • Fax:
Mailing address:
  • Phone: 810-733-6677
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. ALEXANDER BOWDEN
Title or Position: GENERAL DENTIST/OWNER
Credential: DDS
Phone: 810-733-6677