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GREAT SMILE DENTISTRY
NPI 1194946418
Dentist - General Practice in Escanaba, MI

Active since May 02, 2007
2201 LUDINGTON ST, ESCANABA, MI 49829(906) 786-4033(906) 786-9199 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Great Smile Dentistry NPPES

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

GREAT SMILE DENTISTRY (NPI 1194946418) is a healthcare organization registered as a general practice in Escanaba, Michigan and active in the NPI registry since May 2007. The organization lists Randy J Bogaudo, President, as its authorized official.

NPPES Registry Identity

NPI1194946418
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGREAT SMILE DENTISTRY
Location Address2201 LUDINGTON STEscanaba, MI 49829-2322
Mailing Address2201 Ludington StEscanaba, MI 49829-2322 · (906) 786-4033 · Fax (906) 786-9199
Phone(906) 786-4033
Fax(906) 786-9199
Organization SubpartNo
Authorized OfficialRandy J BogaudoPresident · (906) 786-4033
Enumeration DateMay 2, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1194946418 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 · 15587
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.
2201 LUDINGTON ST, Escanaba, MI 49829
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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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RANDY BOGAUDO D.D.S.
Dentist (General Practice)
2201 LUDINGTON ST
ESCANABA, MI 49829
Delta County (906) 786-4033

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 Great Smile Dentistry's NPI number?

The NPI number for Great Smile Dentistry is 1194946418. It was assigned to this organization in the NPPES registry on May 2, 2007.

Where is Great Smile Dentistry located?

Great Smile Dentistry is located at 2201 Ludington St, Escanaba, MI 49829. The listed phone number is (906) 786-4033.

What is Great Smile Dentistry'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 Great Smile Dentistry was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.