# MI SMILES DENTAL CASCADE PLC

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

## Provider details

- **NPI number:** 1528604998
- **Authorized official:** LILIANA HUMPHREY (ADMINISTRATIVE ASSISTANT)
- **Authorized official phone:** (616) 379-4011

## Contact information

- **Practice address:** 4990 CASCADE RD SE, GRAND RAPIDS, MI 49546-8416
- **Practice address phone:** (616) 777-5199
- **Mailing address:** 3250 CENTRAL BLVD, HUDSONVILLE, MI 49426-1439
- **Mailing address phone:** (616) 669-6600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 11/20/2019
- **Last updated:** 11/20/2019