Organization · NPI-2

97 Smiles Of Okemos

Dentist · Okemos, MI

NPI number1780500322
StatusActive
Last updated in NPPESJun 27, 2026

Details

NPI
1780500322
Entity type
Organization (NPI-2)
Legal business name
97 Smiles Of Okemos
Organization subpart
No
Enumeration date
Jun 27, 2026
Certification date
Jun 27, 2026
Last updated
Jun 27, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist––Yes

Practice location

4084 Okemos Rd
Okemos, MI 48864-3258

Phone 517-910-9797

Mailing address

4084 Okemos Rd
Okemos, MI 48864-3258

Phone 517-910-9797

Authorized official

Susan Dunford
Billing & Credentialing Manager
7347888712

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