SMILE FRESH PC
NPI 1477163939
Dentist - General Practice in Grand Blanc, MI

Active since August 08, 2020
500 PERRY RD # 205, GRAND BLANC, MI 48439(810) 603-3368(810) 771-7364 Get Directions Write a Review

NPPES record last updated: August 8, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Smile Fresh Pc NPPES

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

SMILE FRESH PC (NPI 1477163939), doing business as Smile Fresh Dental, is a healthcare organization registered as a general practice in Grand Blanc, Michigan and active in the NPI registry since August 2020. The organization lists Fauzi Raziuddin, Business Manger, as its authorized official.

NPPES Registry Identity

NPI1477163939
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSMILE FRESH PC
Location Address500 PERRY RD # 205Grand Blanc, MI 48439-1482
Mailing Address500 Perry Rd # 205Grand Blanc, MI 48439-1482 · (810) 603-3368 · Fax (810) 771-7364
Fax(810) 771-7364
Organization SubpartNo
Authorized OfficialFauzi RaziuddinBusiness Manger · (810) 603-3368
Enumeration DateAugust 8, 2020
NPPES CertifiedAugust 8, 2020
✔ NPI 1477163939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
500 PERRY RD # 205, Grand Blanc, MI 48439

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

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
500 PERRY RD # 205
GRAND BLANC, MI 48439

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 PC's NPI number?

The NPI number for Smile Fresh PC is 1477163939. It was assigned to this organization in the NPPES registry on August 8, 2020. The provider is doing business as Smile Fresh Dental.

Where is Smile Fresh PC located?

Smile Fresh PC is located at 500 Perry Rd # 205, Grand Blanc, MI 48439. The listed phone number is (810) 603-3368.

What is Smile Fresh 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 PC was last updated on August 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.