Organization
SMILE DOCTORS OF MICHIGAN PC
Active
Organization
SMILE DOCTORS OF MICHIGAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY GOGGANS DMD (PRESIDENT)
(254) 727-3131
Entity
Organization
Contact information
Practice address
13945 PANTHER DR, DEWITT, MI 48820-8506
(517) 669-5833
Mailing address
PO BOX 674441, DALLAS, TX 75267-4441
(254) 727-3131
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
04/20/2020
Last updated
05/20/2022
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