CLEAN SMILE DENTAL INC (NPI# 1730569997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730569997 |
| Entity Type | Organization |
| Organization Name | CLEAN SMILE DENTAL INC |
| Practice Address |
2213 N Rosevere Ave Dearborn MI 48128-1244 |
| Mailing Address |
Po Box 144 Dearborn Heights MI 48127-0144 |
| Practice Telephone | 3137042886 |
| Mailing Telephone | 3137042886 |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2015-06-03 |
| Authorized Official Name | NAWAL SALAME (OWNER) |
| Authorized Official Telephone | 3137042886 |
| Authorized Official Credential | RDH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 2902010443 | MI | Dental Providers |
| Street Address |
2213 N ROSEVERE AVE |
| City | DEARBORN |
| State | MI |
| Zip Code | 48128-1244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609256866 | Nawal A Salame | Dental Hygienist | 2213 N Rosevere Ave, Dearborn, MI 48128-1244 | 2015-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467942219 | Mahmoud Farhat | Dentist | 18590 Outer Dr, Dearborn, MI 48128 | 2018-05-17 |
| 1730607474 | Gentle Hands Direct Care Services, Inc. | Chore Provider | 6659 Schaefer Hwy, Ste. 103, Dearborn, MI 48128 | 2017-09-01 |
| 1396095824 | Corey S. Farber, Pllc | Dentist | 23919 Ford Road, Dearborn, MI 48128 | 2012-09-12 |
| 1184987075 | Yasser Alali | Dentist | 430 North Telegraph Road, Dearborn, MI 48128 | 2012-06-17 |
| 1841573425 | Apple Transportation LLC | Non-emergency Medical Transport (VAN) | 2000 Lafayette, Dearborn, MI 48128 | 2011-09-21 |
| 1407150295 | Dustin Marsh | Psychologist | 19044 Outer Dr, Dearborn, MI 48128 | 2011-01-07 |
| 1619205028 | Michigan-greenfield Urgent Care Pllc | Clinic/Center | 24355 Ford Rd, Dearborn, MI 48128 | 2009-11-23 |
| 1295905065 | Julius Frank Chikos | Dentist | 21775 Wildwood Street, Dearborn, MI 48128 | 2008-03-07 |
| 1003974155 | Walter Knysz Jr. | Dentist | 23401 Ford Road, Dearborn, MI 48128 | 2006-12-04 |
| 1902983703 | Fadi Ahmad Sobh | Pharmacist | 1745 N Silvery Ln, Dearborn, MI 48128 | 2006-11-01 |
| Find all providers in zip 48128 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336789205 | Alaa Samir Solagh | Dental Hygienist | 7311 Appoline St, Dearborn, MI 48126-1570 | 2020-01-08 |
| 1851888192 | Sami Alsabahi | Dental Hygienist | 3138 Roulo St, Dearborn, MI 48120-1452 | 2018-04-20 |
| 1043753619 | Sarah Posigian | Dental Hygienist | 24830 Woodcroft Dr, Dearborn, MI 48124-1755 | 2016-11-29 |
| 1427508936 | Maggie Matthewson | Dental Hygienist | 612 N Lafayette St, Dearborn, MI 48128-1583 | 2016-10-07 |
| 1902353113 | Madona Aoun | Dental Hygienist | 6240 Yinger Ave, Dearborn, MI 48126-2028 | 2016-09-06 |
| 1659746568 | Nicole Susalla | Dental Hygienist | 1342 Venice St, Dearborn, MI 48124-4062 | 2015-12-02 |
| 1356901334 | Mariam Hachem | Dental Hygienist | 5728 Schaefer Rd Ste 203, Dearborn, MI 48126-2287 | 2019-06-20 |
| 1992252035 | Ayeh Dabaja | Dental Hygienist | 14710 W Warren Ave, Dearborn, MI 48126-1347 | 2016-09-07 |
| 1609256866 | Nawal A Salame | Dental Hygienist | 2213 N Rosevere Ave, Dearborn, MI 48128-1244 | 2015-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366042830 | Denisha Henry | Dental Hygienist | 28009 Berkshire Dr, Southfield, MI 48076-2449 | 2020-10-26 |
| 1477173367 | Susan B Leclair | Dental Hygienist | 6824 Brightwood Ct, Waterford, MI 48327-1100 | 2020-04-20 |
| 1053944686 | Elaine Christina Check | Dental Hygienist | 3510 Roosevelt Rd, Jackson, MI 49203-5263 | 2020-02-21 |
| 1720619257 | Angela Marie Compton | Dental Hygienist | 2668 Applewine, Middleville, MI 49333-8052 | 2020-02-03 |
| 1952941825 | Ericka Melissa Smith | Dental Hygienist | 14577 Rosemont Ave, Detroit, MI 48223-2338 | 2020-01-08 |
| 1083254957 | Zahraa Solagh | Dental Hygienist | 6268 Whitefield St, Dearborn Heights, MI 48127-3013 | 2020-01-08 |
| 1811536261 | Melissa Ann Mccurtis | Dental Hygienist | 20700 Lockwood St, Taylor, MI 48180-2977 | 2020-01-02 |
| 1609415595 | Amanda Kilpatrick | Dental Hygienist | 11714 Belle River Rd, Riley, MI 48041-4322 | 2019-12-25 |
| 1366089732 | Vian Aljony | Dental Hygienist | 27273 Arden Park Cir, Farmington Hills, MI 48334 | 2019-12-04 |
| 1750927232 | Timberly Sue Daoust | Dental Hygienist | 302 S Front St Ste A, Dowagiac, MI 49047-1750 | 2019-11-20 |
| Find all providers with the same taxonomy | ||||
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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.