Provider Demographics
NPI:1104390822
Name:CARING SMILES FAMILY DENTISTRY, PC
Entity Type:Organization
Organization Name:CARING SMILES FAMILY DENTISTRY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:AMIRA
Authorized Official - Middle Name:MAY
Authorized Official - Last Name:WOODRUFF
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:248-973-8788
Mailing Address - Street 1:6900 ORCHARD LAKE RD STE 211
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-3425
Mailing Address - Country:US
Mailing Address - Phone:248-973-8788
Mailing Address - Fax:
Practice Address - Street 1:6900 ORCHARD LAKE RD STE 211
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-3425
Practice Address - Country:US
Practice Address - Phone:248-973-8788
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-15
Last Update Date:2019-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental