Provider Demographics
NPI:1164587176
Name:ALL AMERICAN SMILES DENTAL GRP
Entity Type:Organization
Organization Name:ALL AMERICAN SMILES DENTAL GRP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:810-632-2241
Mailing Address - Street 1:9500 E HIGHLAND RD
Mailing Address - Street 2:SUITE 7
Mailing Address - City:HOWELL
Mailing Address - State:MI
Mailing Address - Zip Code:48843
Mailing Address - Country:US
Mailing Address - Phone:810-632-2241
Mailing Address - Fax:810-632-6455
Practice Address - Street 1:9500 E HIGHLAND RD
Practice Address - Street 2:SUITE 7
Practice Address - City:HOWELL
Practice Address - State:MI
Practice Address - Zip Code:48843
Practice Address - Country:US
Practice Address - Phone:810-632-2241
Practice Address - Fax:810-632-6455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-27
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty