MILES OF SMILES DENTISTRY (NPI# 1790264299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790264299 |
| Entity Type | Organization |
| Organization Name | MILES OF SMILES DENTISTRY |
| Practice Address |
5621 Leslie Ct Flint MI 48504-7017 |
| Practice Telephone | 8103085086 |
| Mailing Telephone | 8103085086 |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2018-08-07 |
| Authorized Official Name | DR. RUDOLPH DELANO WHEATON (DIRECTOR/ADMINISTRATOR) |
| Authorized Official Telephone | 8103085086 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760951214 | Miles of Smiles Dentistry | Dentist | 5621 Leslie Ct, Flint, MI 48504 | 2018-11-14 |
| Street Address |
5621 LESLIE CT |
| City | FLINT |
| State | MI |
| Zip Code | 48504-7017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730641804 | Great Lakes Dental Services Pllc | Dentist | 5621 Leslie Ct, Flint, MI 48504 | 2019-04-05 |
| 1760951214 | Miles of Smiles Dentistry | Dentist | 5621 Leslie Ct, Flint, MI 48504 | 2018-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750935326 | St. Luke N.e.w. Life Center, Inc. | Optometrist | 3115 Lawndale Ave., Flint, MI 48504 | 2019-07-31 |
| 1235797259 | Saarah Amuthan | Dentist | 2051 West Pierson Road, Dental Dreams, Units B-d, Flint, MI 48504 | 2019-06-04 |
| 1639653413 | Chad Warren Montague | Social Worker | 1420 West University Ave, Flint, MI 48504 | 2018-09-18 |
| 1235628744 | Houda Ghassani | Dentist | 2501 W Pierson Rd # Unitsb-d, Flint, MI 48504 | 2018-05-09 |
| 1982108551 | Dawn Michelle Conklin | Physical Therapist | 1069 N Ballenger Hwy, Flint, MI 48504 | 2018-03-20 |
| 1699295204 | Stephen Thomas Holt | Dentist | 2501 West Pierson Road, Units B-d, Flint, MI 48504 | 2017-06-23 |
| 1841601739 | Charles Davis | Pharmacist | 4333 W. Pierson Rd. G, Flint, MI 48504 | 2014-05-13 |
| 1609151109 | All American Pharmacy LLC | Pharmacy | 3104-3106 Flushing Rd, Flint, MI 48504 | 2011-10-15 |
| 1972814143 | Ballenger Pharmacy Center | Pharmacy | 1073 N Ballenger Hwy, Flint Twp, MI 48504 | 2010-06-23 |
| 1932357837 | Katherine Ann Kogelmann | Social Worker | 1420 W. University, Flint, MI 48504 | 2008-09-04 |
| Find all providers in zip 48504 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235797259 | Saarah Amuthan | Dentist | 2051 West Pierson Road, Dental Dreams, Units B-d, Flint, MI 48504 | 2019-06-04 |
| 1699295204 | Stephen Thomas Holt | Dentist | 2501 West Pierson Road, Units B-d, Flint, MI 48504 | 2017-06-23 |
| 1962952770 | Deluxe Dental | Dentist | 3617 Corunna Rd, Flint, MI 48532-3830 | 2016-10-05 |
| 1376941773 | Deluxe Dental Associates Pllc | Dentist | 3760 S Dort Hwy, Flint, MI 48507 | 2014-12-17 |
| 1982978086 | Dr. Robert A. Davis | Dentist | 2710 W Court St Ste 6, Flint, MI 48503-3061 | 2012-03-07 |
| 1730407602 | Traci Jill Dantzler | Dentist | 4170 Lennon Rd Ste A, Flint, MI 48507-1083 | 2010-05-17 |
| 1053635458 | Mohanad Ballani | Dentist | G3538 Miller Rd, Ste A, Flint, MI 48507-1271 | 2010-03-15 |
| 1457510513 | Yang Luen Shih | Dentist | 932 S Center Rd, Flint, MI 48503-4511 | 2008-06-04 |
| 1407021991 | Mildred Jean Tinker | Dentist | G-4256 S. Linden Rd., Flint, MI 48507-2908 | 2008-04-25 |
| 1043480254 | Advance Dental Care, P.C. | Dentist | 3710 Davison Rd, Flint, MI 48506-4206 | 2008-03-04 |
| Find all providers in FLINT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.