# RESTORING SMILES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114965621
- **Authorized official:** DR. TIMOTHY PATRICK CARNEY DDS (DENTIST OWNER)
- **Authorized official phone:** (989) 871-4576

## Contact information

- **Practice address:** 4780 INDUSTRIAL DRIVE, MILLINGTON, MI 48746
- **Practice address phone:** (989) 871-4576
- **Practice address fax:** (989) 871-4585
- **Mailing address:** PO BOX 586, 4780 INDUSTRIAL DRIVE, MILLINGTON, MI 48746
- **Mailing address phone:** (989) 871-4576
- **Mailing address fax:** (989) 871-4585

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901016238 | MI | Yes |

## Other

- **Enumeration date:** 06/04/2006
- **Last updated:** 08/22/2020