Organization
97 SMILES OF MADISON HEIGHTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN DUNFORD (BILLING & CREDENTIALING MANAGER)
(313) 342-1997
Entity
Organization
Contact information
Practice address
1190 E 12 MILE RD, MADISON HEIGHTS, MI 48071-2665
(248) 955-9727
Mailing address
1190 E 12 MILE RD, MADISON HEIGHTS, MI 48071-2665
(248) 955-9727
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/24/2026
Last updated
06/24/2026
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