SMILES ON WHEELS


Address: 1715 Lansing Ave, Room 261, Jackson, MI 49202-2192
Phone: 5177407422

SMILES ON WHEELS (NPI# 1518330992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518330992
Entity Type Organization
Organization Name SMILES ON WHEELS
Practice Address 1715 Lansing Ave
Room 261
Jackson
MI 49202-2192
Mailing Address 122 Highland Dr
Jackson
MI 49201-9164
Practice Telephone 5177407422
Enumeration Date 2015-11-05
Last Update Date 2015-11-05
Authorized Official Name KIM CRABTREE (DENTAL HYGIENIST/OWNER)
Authorized Official Telephone 5177402596
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
2902016316 MI Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1477611234 Smiles On Wheels Dentist 7040 Mckay, Jackson, MI 49201 2006-12-05
1821494642 Smiles On Wheels Dental Hygienist 7040 Mckay Rd, Jackson, MI 49201-9261 2014-11-05
1427487925 Smiles On Wheels Clinic/Center 7040 Mckay Rd, Jackson, MI 49201-9261 2013-11-05

Office Location

Street Address 1715 LANSING AVE
ROOM 261
City JACKSON
State MI
Zip Code 49202-2192

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780692400 Jackson County Preventive Medicine 1715 Lansing Ave, Jackson, MI 49202-2193 2006-08-05
1073032355 Jackson County Case Manager/Care Coordinator 1715 Lansing Ave, Jackson, MI 49202-2193 2017-09-18
1801123963 Jennifer Dawn Guthrie Counselor 1715 Lansing Ave, Suite 672, Jackson, MI 49202-2192 2009-11-11
1508193046 Jackson County Case Management 1715 Lansing Ave, Suite 672, Jackson, MI 49202-2192 2009-11-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821590316 Leslie Dominique Barroso Social Worker 834 Kennedy St, Jackson, MI 49202 2018-03-01
1073011136 Nicole Szarek Social Worker 1200 N. West Ave, Jackson, MI 49202 2018-01-24
1598299430 Cedric Griffin Behavior Technician 950 W. Monroe St, Jackson, MI 49202 2017-04-18
1285081612 Patricia Decker Psychologist 950 West Monroe, Suite 500, Jackson, MI 49202 2016-05-16
1619344314 Erica Ries Social Worker 1200 N West Ave Ste 800, Jackson, MI 49202 2015-08-28
1184007189 Sarah Johnson Behavioral Analyst 818 Winifred St, Jackson, MI 49202 2015-07-08
1871971697 Scott A Watterson Dds, Pllc Dentist 1030 Laurence Ave, Suite 3, Jackson, MI 49202 2015-05-13
1043608680 Brenda Beverly Counselor 1190 West, 1190 West Suite 812, Jackson, MI 49202 2015-01-06
1295091593 Natalie Ann Kember Social Worker 1206 Clinton, Jackson, MI 49202 2012-04-11
1912218728 Tina Marie Pierce Respite Care 225 N Wisner St, Jakson, MI 49202 2010-06-25
Find all providers in zip 49202

Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417572595 Southern Ohio Mini Dental Implant Center Clinic/Center 41 E South St, Jackson, OH 45640-1638 2020-06-15
1619503349 Alpine Denitstry Clinic/Center 945 W Broadway Ave Apt 201, Jackson, WY 83001-8217 2020-03-13
1790269173 Chad Brown, D.d.s., P.C. Clinic/Center 604 2nd St, Jackson, MN 56143-1646 2018-09-20
1972863207 Bingham Endodontics, Pllc Clinic/Center 610 W. Broadway Ave, Jackson, WY 83001 2012-05-21
1396903811 John W. Crowder, D.d.s.,p.c. Clinic/Center 209 Oil Well Rd, Jackson, TN 38305-7924 2008-05-30
1194997775 Noel K. Toler,jr.,d.d.s.,p.a. Clinic/Center 2600 River Ridge Dr, Jackson, MS 39216-5013 2008-03-24
1124182407 Choices for Dental Clinic/Center 2941 Terry Rd Ste 16, Jackson, MS 39212-3072 2006-12-20
1982787073 G. Robert Hopper, D.d.s., P.C. Clinic/Center 468 N Parkway, Jackson, TN 38305-2857 2006-10-23
1508958133 Mid South Dental Center of Jackson Clinic/Center 5685 Hwy 18 West, Jackson, MS 39209 2006-09-29
1225642242 Lifetime Dental Care Pllc Clinic/Center 2528 Spring Arbor Rd, Jackson, MI 49203-3602 2020-09-08
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 49202

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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