NPI 1194946418 GREAT SMILE DENTISTRY ESCANABA MI. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Great Smile Dentistry - NPI: 1194946418

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: GREAT SMILE DENTISTRY
NPI Number: 1194946418
Entity Type Code: Organizational (2)
Authorized Official Name: RANDY J BOGAUDO
(PRESIDENT)
Mailing Address: 2201 Ludington St
Escanaba
State: MI US
Postal Code: 498292322
Phone Number: 9067864033
Fax Number: 9067869199
NPI Enumeration Date: 05/02/2007
NPI Last Update Date: 07/08/2007
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 1223G0001X
License Number: 15587
Healthcare Provider Taxonomy:
(Secondary)
Y
State: MI
Taxonomy Type: Dental Providers
Taxonomy Classification: Dentist
Taxonomy Specialization: General Practice
Taxonomy Definition:
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.


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