Organization
THE BIG SMILE ORTHODONTICS
Active
Organization
THE BIG SMILE ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE M JANE DDS, MS (VICE PRESIDENT)
(248) 471-1555
Entity
Organization
Contact information
Practice address
31370 TELEGRAPH RD, BINGHAM FARMS, MI 48025-4356
(248) 645-5340
Mailing address
33627 7 MILE RD, LIVONIA, MI 48152-3077
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
03/26/2017
Last updated
03/26/2017
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