Organization
KIDS GRINS..STRAIGHT SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS THOMAS RAFAILL DDS (ORTHODONTIST-OWNER OF ORGANIZATION)
(586) 247-5544
Entity
Organization
Contact information
Practice address
49050 SCHOENHERR ROAD, SUITE 400, SHELBY TOWNSHIP, MI 48315-3848
(586) 247-5544
(586) 247-6677
Mailing address
49050 SCHOENHERR ROAD, SUITE 400, SHELBY TOWNSHIP, MI 48315-3848
(586) 247-5544
(586) 247-6677
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
2901010466
MI
1223P0221X
Pediatric Dentistry
Primary
—
MI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
2901016261
MI
Other
Enumeration date
08/21/2006
Last updated
09/11/2025
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