GLOWING SMILES DENTAL PLLC (NPI# 1578176574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578176574 |
| Entity Type | Organization |
| Organization Name | GLOWING SMILES DENTAL PLLC |
| Practice Address |
1551 W Big Beaver Rd Ste D14 Troy MI 48084-3528 |
| Mailing Address |
4094 Ledgestone Dr Troy MI 48098-4318 |
| Practice Telephone | 2486334187 |
| Mailing Telephone | 2486334187 |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |
| Authorized Official Name | DR. KULBIR JASSAL (PRESIDENT) |
| Authorized Official Telephone | 2486334187 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
1551 W BIG BEAVER RD STE D14 |
| City | TROY |
| State | MI |
| Zip Code | 48084-3528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497360242 | Keely Erin Zuri | Physical Therapy Assistant | 3250 W. Big Beaver, Troy, MI 48084 | 2020-09-09 |
| 1841762473 | Hunter Thomas Michaels | Kinesiotherapist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-12-20 |
| 1265900864 | Michelle Denise Carter | Massage Therapist | 3250 West Big Beaver Suite 228, Troy, MI 48084 | 2018-11-13 |
| 1770083925 | Troy Daniel Burrell | Clinical Exercise Physiologist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-02-14 |
| 1174030175 | Alexander Scott | Kinesiotherapist | 3250 W. Big Beaver Rd., Troy, MI 48084 | 2017-12-29 |
| 1568977213 | Mallory Rose Valeri | Specialist/Technologist | 3250 W. Big Beaver Rd, Suite 228, Troy, MI 48084 | 2017-12-04 |
| 1710409651 | Eduardo Martin Pinto | Pharmacist | 3811 Coolidge Hwy, Troy, MI 48084 | 2017-07-12 |
| 1659891653 | Tricia Michelle Forgash | Recreation Therapist | 1998 Dorchester Dr. N 106, Troy, MI 48084 | 2017-06-21 |
| 1851759278 | Lauren Field | Counselor | 3290 W Big Beaver Rd Ste 188, Troy, MI 48084 | 2016-01-30 |
| 1265806939 | Tammy Scott-barney | Nurse Practitioner | 888 W Big Beaver Rd Ste 900, Troy, MI 48084 | 2015-11-18 |
| Find all providers in zip 48084 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484375 | Troy Cosmetic and Implant Dental Center Pllc | Clinic/Center | 4770 Rochester Rd Ste 106, Troy, MI 48085-4951 | 2020-10-15 |
| 1437326469 | Bryan F. Harju, Dmd Inc. | Clinic/Center | 435 Trade Sq W, Troy, OH 45373-2461 | 2008-05-08 |
| 1760012371 | Nexus Dental | Clinic/Center | 42 4th St, Troy, NY 12180-3203 | 2020-01-22 |
| 1770122194 | Market Street Family Dentist, PC | Clinic/Center | 212 E Market St, Troy, IL 62294-1512 | 2020-01-02 |
| 1841768975 | Hanser Dental, LLC | Clinic/Center | 334 Bargraves Blvd, Troy, IL 62294-2304 | 2018-11-07 |
| 1306334503 | Ansari Dental of Troy Pllc | Clinic/Center | 3962 Rochester Rd, Troy, MI 48083-5248 | 2018-04-24 |
| 1477911832 | Shanna Mcgettrick Dds,pc | Clinic/Center | 6804 Meadow Ct, Troy, MI 48098-2032 | 2016-02-01 |
| 1215392998 | Dentists R Us | Clinic/Center | 38865 Dequindre Rd Ste 105, Troy, MI 48083-6812 | 2015-12-22 |
| 1437559739 | Kerry J Brown, Dds | Clinic/Center | 2025 W Long Lake Rd, Suite 110, Troy, MI 48098-4100 | 2014-08-25 |
| 1477898187 | Troy Dental PC | Clinic/Center | 5 Broadway, Suite# 201, Troy, NY 12180-3226 | 2012-12-06 |
| Find all providers in TROY | ||||
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| 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.