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SMILIE'S PEDIATRIC DENTISTRY
NPI 1356085930
Dentist - Pediatric Dentistry in Grand Rapids, MI

Active since April 21, 2022
2017 EASTCASTLE DRIVE SE, SUITE A, GRAND RAPIDS, MI 49508(616) 455-4646(616) 455-6024 Get Directions Write a Review

NPPES record last updated: April 21, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Smilie's Pediatric Dentistry NPPES

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

SMILIE'S PEDIATRIC DENTISTRY (NPI 1356085930) is a healthcare organization registered as a pediatric dentistry in Grand Rapids, Michigan and active in the NPI registry since April 2022. The organization lists Douglas Eugene Ladue, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1356085930
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSMILIE'S PEDIATRIC DENTISTRY
Location Address2017 EASTCASTLE DRIVE SE, SUITE AGrand Rapids, MI 49508-8872
Mailing Address2017 Eastcastle Drive Se, Suite AGrand Rapids, MI 49508-8872 · (616) 455-4646 · Fax (616) 455-6024
Phone(616) 455-4646
Fax(616) 455-6024
Organization SubpartNo
Authorized OfficialDouglas Eugene LadueOwner/dentist · (616) 455-4646
Enumeration DateApril 21, 2022
NPPES CertifiedApril 21, 2022
✔ NPI 1356085930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2017 EASTCASTLE DRIVE SE, Grand Rapids, MI 49508
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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 Smilie's Pediatric Dentistry's NPI number?

The NPI number for Smilie's Pediatric Dentistry is 1356085930. It was assigned to this organization in the NPPES registry on April 21, 2022.

Where is Smilie's Pediatric Dentistry located?

Smilie's Pediatric Dentistry is located at 2017 Eastcastle Drive SE Suite A, Grand Rapids, MI 49508. The listed phone number is (616) 455-4646.

What is Smilie's Pediatric Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Smilie's Pediatric Dentistry was last updated on April 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.