Organization
EPIC SMILE CENTERS OF MICHIGAN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED WOOLF DDS (MANAGER)
(561) 866-3040
Entity
Organization
Contact information
Practice address
30969 ORCHARD LAKE RD, FARMINGTON HILLS, MI 48334-1338
(866) 374-2764
Mailing address
17968 FIELDBROOK CIR S, BOCA RATON, FL 33496-1531
(561) 866-3040
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770628687
DENTIST
MI
Enumeration date
03/04/2019
Last updated
03/03/2021
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