Healthcare Provider Details

I. General information

NPI: 1770412660
Provider Name (Legal Business Name): DANYEL WALTER SMYK DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51333 MOUND RD
SHELBY TWP MI
48316-4344
US

IV. Provider business mailing address

51333 MOUND RD
SHELBY TWP MI
48316-4344
US

V. Phone/Fax

Practice location:
  • Phone: 586-799-4240
  • Fax:
Mailing address:
  • Phone: 586-799-4240
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number2901603057
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: