SMILE FRESH DENTAL
NPI 1164963401
Dentist - General Practice in Detroit, MI

Q: What is Smile Fresh Detroit PC's NPI number?

The NPI number for Smile Fresh Detroit PC is 1164963401. It was assigned to this organization in the NPPES registry on March 20, 2017. The provider is doing business as Smile Fresh Dental.

Q: What is Smile Fresh Detroit PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since March 20, 2017

7230 GRATIOT AVENUE, DETROIT, MI 48213(248) 895-6987 Get Directions Write a Review

NPPES record last updated: March 20, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Smile Fresh Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SMILE FRESH DENTAL (NPI 1164963401) is a healthcare organization registered as a general practice in Detroit, Michigan and active in the NPI registry since March 2017. The organization lists Fauzi Mohammed Raziuddin, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1164963401

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameSMILE FRESH DETROIT PC

Location Address7230 GRATIOT AVENUEDetroit, MI 48213

Mailing Address1507 Threadneedle StBloomfield Hills, MI 48304-1020 · (248) 895-6987

Phone(248) 895-6987

Organization SubpartNo

Authorized OfficialFauzi Mohammed RaziuddinOffice Manager · (248) 895-6987

Enumeration DateMarch 20, 2017

✔ NPI 1164963401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MI · 2901021727

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.

7230 GRATIOT AVENUE, Detroit, MI 48213

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Other Names 1

Doing Business AsSmile Fresh Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Smile Fresh Detroit PC's NPI number?

The NPI number for Smile Fresh Detroit PC is 1164963401. It was assigned to this organization in the NPPES registry on March 20, 2017. The provider is doing business as Smile Fresh Dental.

Where is Smile Fresh Detroit PC located?

Smile Fresh Detroit PC is located at 7230 Gratiot Avenue, Detroit, MI 48213. The listed phone number is (248) 895-6987.

What is Smile Fresh Detroit PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Smile Fresh Detroit PC was last updated on March 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.