| Smilie's Pediatric Dentistry | |
|
2017 Eastcastle Drive Se Suite A Grand Rapids MI 49508-8872 | |
| (616) 455-4646 | |
| (616) 455-6024 |
| Full Name | Smilie's Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2017 Eastcastle Drive Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Douglas Eugene Ladue (OWNER/DENTIST) |
| Authorized Official Contact | 6164554646 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smilie's Pediatric Dentistry 2017 Eastcastle Drive Se Suite A Grand Rapids MI 49508-8872 Ph: (616) 455-4646 | Smilie's Pediatric Dentistry 2017 Eastcastle Drive Se Suite A Grand Rapids MI 49508-8872 Ph: (616) 455-4646 |
| NPI Number | 1356085930 |
|---|---|
| Provider Enumeration Date | 04/21/2022 |
| Last Update Date | 04/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356085930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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› Verified 3 days ago
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