SUPERIOR SMILES (NPI# 1861703258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861703258 |
| Entity Type | Organization |
| Organization Name | SUPERIOR SMILES |
| Practice Address |
1550 West Quincy St Hancock MI 49930 |
| Mailing Address |
Po Box 150 Hancock MI 49931 |
| Practice Telephone | 9064823621 |
| Practice Fax Number | 9064823676 |
| Mailing Telephone | 9064823621 |
| Mailing Fax Number | 9064823676 |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2010-06-30 |
| Authorized Official Name | NICOLE ANN HEBNER (OFFICE MANAGER) |
| Authorized Official Telephone | 9064823621 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2901016316 | MI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4930642 | 05 |
| Street Address |
1550 WEST QUINCY ST |
| City | HANCOCK |
| State | MI |
| Zip Code | 49930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437627643 | Karen Byrnes | Registered Nurse | Hancock Va Cboc, 787 Market St. Suite 9, Hancock, MI 49930 | 2018-11-06 |
| 1881117562 | Angelica Monique Nunez | Specialist/Technologist | 601 Quincy St, Hancock, MI 49930 | 2017-07-25 |
| 1831581164 | Superior Prosthetics and Orthotics | Prosthetic/Orthotic Supplier | 20075 Third Street, Hancock, MI 49930 | 2015-02-24 |
| 1164633780 | Kathryn Mary Salmi | Counselor | 100 Quincy Street, Hancock, MI 49930 | 2007-05-25 |
| 1093828535 | Mary Katherine Van Camp | Social Worker | 787 Market St., Suites 9 & 10, Hancock, MI 49930 | 2006-08-17 |
| 1083627392 | Kim Kathleen Green | Social Worker | 787 Market Street, Hancock, MI 49930 | 2006-08-15 |
| 1346257672 | James William Sarazin | Dentist | 528 Quincy Street, Hancock, MI 49930 | 2006-08-01 |
| 1114951829 | Patricia J Tikkanen | Social Worker | 200 Michigan St Ste 321, Hancock, MI 49930 | 2006-07-10 |
| 1487639829 | Thomas Collins | Social Worker | 920 Water Street, Hancock, MI 49930 | 2005-12-08 |
| 1417442898 | Concierge Dermatology & Skin Surgery Center | Dermatology | 500 Campus Dr, Hancock, MI 49930 | 2018-06-27 |
| Find all providers in zip 49930 | ||||
| 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 |
|---|---|---|---|---|
| 1457479214 | Dennis Destefano | Dentist | 24651 State Hwy 97, Hancock, NY 13783-2233 | 2007-03-27 |
| 1053462473 | Leonard William Beesley | Dentist | 1111 Hecla St, Hancock, MI 49930-1035 | 2007-01-13 |
| 1306931720 | Timothy Jon Carlson | Dentist | 657 Atlantic Ave, Hancock Dental Clilnic, P.a, Hancock, MN 56244 | 2006-10-03 |
| 1982710802 | Ronald Joseph Fisher | Dentist | 1550 W Quincy St, Hancock, MI 49930-1223 | 2006-08-22 |
| 1427164680 | Robert D Richards Dds PC | Dentist | 896 Campus Drive, Hancock, MI 49930-1571 | 2006-08-21 |
| 1346257672 | James William Sarazin | Dentist | 528 Quincy Street, Hancock, MI 49930 | 2006-08-01 |
| 1932652005 | Justin Slis | Dentist | 1550 W Quincy St, Hancock, MI 49930-1223 | 2016-07-25 |
| 1205217239 | Upper Great Lakes Family Health Center | Dentist | 1550 W Quincy St, Hancock, MI 49930-1223 | 2015-06-16 |
| 1144435421 | Robert Donold Richards | Dentist | 896 Campus Drive, Hancock, MI 49931-1571 | 2007-05-11 |
| 1356467203 | Robert Nominelli | Dentist | 1550 W Quincy St, Hancock, MI 49930-1223 | 2007-03-22 |
| Find all providers in HANCOCK | ||||
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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.