Provider Demographics
NPI:1801975289
Name:CONTEMPORARY SMILES P.C.
Entity type:Organization
Organization Name:CONTEMPORARY SMILES P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:BUDAY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:248-754-1111
Mailing Address - Street 1:4651 BALDWIN RD
Mailing Address - Street 2:
Mailing Address - City:METAMORA
Mailing Address - State:MI
Mailing Address - Zip Code:48455-8928
Mailing Address - Country:US
Mailing Address - Phone:810-678-2033
Mailing Address - Fax:
Practice Address - Street 1:4870 N ADAMS RD
Practice Address - Street 2:
Practice Address - City:OAKLAND TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48306-1415
Practice Address - Country:US
Practice Address - Phone:248-754-1111
Practice Address - Fax:248-373-3325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI014236122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty