# DEARBORN FAMILY SMILES PLLC

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

## Provider details

- **NPI number:** 1629655469
- **Authorized official:** SANDY S ACOSTA (PRACTICE DEVELOPMENT MANAGER)
- **Authorized official phone:** (734) 525-6100

## Contact information

- **Practice address:** 5005 SCHAEFER RD, DEARBORN, MI 48126-3252
- **Practice address phone:** (313) 914-2595
- **Mailing address:** 16979 FARMINGTON RD, LIVONIA, MI 48154-2946
- **Mailing address phone:** (734) 525-6100

## Taxonomy

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

## Other

- **Enumeration date:** 03/26/2021
- **Last updated:** 01/12/2024