# MICHIGAN RESTORATIVE INSTITUTE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** New Era Dental, Smile Zone Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356811756
- **Authorized official:** MICHAEL SCHAAF (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (269) 217-6442

## Contact information

- **Practice address:** 4036 24TH AVE, FORT GRATIOT, MI 48059-3800
- **Practice address phone:** (810) 385-9766
- **Mailing address:** 4036 24TH AVE, FORT GRATIOT, MI 48059-3800
- **Mailing address phone:** (810) 385-9766

## Taxonomy

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

## Other

- **Enumeration date:** 11/28/2018
- **Last updated:** 04/23/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2901021060 | DENTAL LICENSE | MI |
| 01 | — | 2901022057 | DENTAL LICENSE | MI |
| 01 | — | 2901022068 | DENTAL LICENSE | MI |
| 01 | — | 2901022154 | DENTAL LICENSE | MI |
| 01 | — | 2901022368 | DENTAL LICENSE | MI |
