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General NPI Number Information
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NPI Number | 1003771163
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Entity Type | Organization
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Legal Business Name | SMILE SELECT PLLC
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Dates
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Enumeration Date | 12/22/2025
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 102 S CEDAR ST
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City | MANISTIQUE
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State | MI
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Zip | 49854-1438
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Country | US
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Telephone | 906-341-3602
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Fax |
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Provider Business Mailing Address
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Address Line | 102 S CEDAR ST
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City | MANISTIQUE
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State | MI
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Zip | 49854-1438
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Country | US
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Telephone | 906-341-3602
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL HIGHERS JR.
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Credential | DDS
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Telephone | 804-997-5518
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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