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NPI Code Detail

MEDICARE: SAVING SMILES, INC

MEDICARE: SAVING SMILES, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223D0001XPublic Health Dentistry2901007381MI

General Provider Information

NPI Number : 1639413933
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAVING SMILES, INC
Provider Business Mailing Address
First Line : 27201 RYAN RD
Second Line :
City : WARREN
State : MI
Zip : 48092-5127
Country : US
Telephone Number : 313-863-2800
Fax Number :
Provider Business Practice Location Address
First Line : 20720 PLYMOUTH RD
Second Line :
City : DETROIT
State : MI
Zip : 48228-1275
Country : US
Telephone Number : 313-342-1997
Fax Number : 313-416-1405
Authorized Official
Title or Position : MANAGER
Name : PAMELA HYDE
Credential :
Telephone Number : 313-863-2800
Provider Enumeration Date : 11/27/2012
Last Update Date : 02/07/2013

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Directions to “SAVING SMILES, INC ” Practice Location

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