Provider Demographics
NPI:1558633818
Name:FILIPOVSKA-SMITH, LIDIJA (DDS)
Entity Type:Individual
Prefix:DR
First Name:LIDIJA
Middle Name:
Last Name:FILIPOVSKA-SMITH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:LIDIJA
Other - Middle Name:
Other - Last Name:FILIPOVSKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:31574 SCHOOLCRAFT RD
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48150-1805
Mailing Address - Country:US
Mailing Address - Phone:313-537-5300
Mailing Address - Fax:313-537-5310
Practice Address - Street 1:25106 WEST SIX MILE RD.
Practice Address - Street 2:
Practice Address - City:REDFORD
Practice Address - State:MI
Practice Address - Zip Code:48240
Practice Address - Country:US
Practice Address - Phone:313-537-5300
Practice Address - Fax:313-537-5310
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-02
Last Update Date:2016-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010148151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice