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WIDE SMILES MOBILE DENTAL
NPI 1255768818
Dentist in Macomb, MI

Active since September 27, 2013
19332 HUDSON RIVER DR, MACOMB, MI 48044(586) 649-7906(586) 231-0118 Get Directions Write a Review

NPPES record last updated: September 27, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wide Smiles Mobile Dental NPPES

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

WIDE SMILES MOBILE DENTAL (NPI 1255768818) is a healthcare organization registered as a dentist in Macomb, Michigan and active in the NPI registry since September 2013. The organization lists Douglas Joseph Shoha, Owner, as its authorized official.

NPPES Registry Identity

NPI1255768818
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameWIDE SMILES MOBILE DENTAL
Location Address19332 HUDSON RIVER DRMacomb, MI 48044-4241
Mailing Address19332 Hudson River DrMacomb, MI 48044-4241 · (586) 649-7906 · Fax (586) 231-0118
Phone(586) 649-7906
Fax(586) 231-0118
Organization SubpartNo
Authorized OfficialDouglas Joseph ShohaOwner · (586) 649-7906
Enumeration DateSeptember 27, 2013
✔ NPI 1255768818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MI · 16556
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
19332 HUDSON RIVER DR, Macomb, MI 48044
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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

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 Wide Smiles Mobile Dental's NPI number?

The NPI number for Wide Smiles Mobile Dental is 1255768818. It was assigned to this organization in the NPPES registry on September 27, 2013.

Where is Wide Smiles Mobile Dental located?

Wide Smiles Mobile Dental is located at 19332 Hudson River Dr, Macomb, MI 48044. The listed phone number is (586) 649-7906.

What is Wide Smiles Mobile Dental's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Wide Smiles Mobile Dental was last updated on September 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.