# HAPPY TEETH DENTAL PLLC.

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

## Provider details

- **NPI number:** 1295137644
- **Authorized official:** DR. ODETTE ROYE DOUGHERTY DDS (OWNER)
- **Authorized official phone:** (586) 354-3903

## Contact information

- **Practice address:** 12807 W WARREN AVE, DEARBORN, MI 48126-1532
- **Practice address phone:** (586) 354-3903
- **Practice address fax:** (586) 296-2135
- **Mailing address:** 12807 W WARREN AVE, DEARBORN, MI 48126-1532
- **Mailing address phone:** (586) 354-3903
- **Mailing address fax:** (586) 296-2135

## Taxonomy

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

## Other

- **Enumeration date:** 09/17/2014
- **Last updated:** 06/01/2023