# DOCSMILE DENTAL CENTER

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

## Provider details

- **NPI number:** 1417179466
- **Authorized official:** MRS. TRACEY E JOHNSON-ROBINSON (ADMINISTRATOR)
- **Authorized official phone:** (800) 362-7645

## Contact information

- **Practice address:** 18601 MACK AVE, GROSSE POINTE, MI 48236-3250
- **Practice address phone:** (800) 362-7645
- **Mailing address:** PO BOX 1082, DEARBORN, MI 48121-1082
- **Mailing address phone:** (800) 362-7645

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 292200000X | Dental Laboratory | 2901011576 | MI | Yes |
| 292200000X | Dental Laboratory | 2901015328 | MI | — |

## Other

- **Enumeration date:** 05/02/2007
- **Last updated:** 10/07/2010