# MICHIGAN RESTORATIVE INSTITUTE, PLLC

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

## Provider details

- **NPI number:** 1871141093
- **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
- **Practice address fax:** (810) 990-8403
- **Mailing address:** 8096 WIMBLEDON DR, PORTAGE, MI 49024-7807
- **Mailing address phone:** (269) 217-6442

## Taxonomy

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

## Other

- **Enumeration date:** 08/30/2019
- **Last updated:** 04/23/2021