Organization · Type 2 NPI
Smile Cascade, P.c.
Dental Clinic/Center · Grand Rapids, MI
NPI number
1679062772
Active
Practice location
4505 Cascade Rd SE # A
Grand Rapids, MI 49546
Mailing address
128 Columbus Ave
Grand Haven, MI 49417-1224
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 16820 (MI) |
| Dental Clinic/Center | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1679062772
Smile Cascade, P.c.'s National Provider Identifier is 1679062772, issued on May 3, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jun 5, 2018.