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Active NPI 1174524243 Individual Practitioner Male Practitioner

Dr. Michael A Smith , DDS, MS

Dentist - Endodontics • Holland, MI

Professional Overview & Biography Verified Profile Summary

Dr. Michael Smith, DDS, MS is a registered healthcare professional specializing in Dentist - Endodontics in Holland, MI. Practice services are available at 12662 RILEY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12662 Riley St
Suite #130

Holland, MI 494248023

Telephone 6163996811
Fax 6163996812
Associated Practice Facility / Clinic
🏢 Michigan Medical Patient Care Facility NPI 1750578886

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Endodontics in Holland, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Holland, MI (183 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

State License MI 2901015630

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Brent Hazlewood , DDS

Dentist - Endodontics

NPI 1851709331

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 16, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location April 16, 2013

Registered at 12662 RILEY ST, SUITE #130, HOLLAND, MI 494248023 (Tel: 6163996811)

📍
Updated Business Mailing Address April 16, 2013

Registered at 12662 RILEY ST, SUITE #130, HOLLAND, MI 494248023 (Tel: 6163996811)

👤
Provider Name / Credentials Updated April 16, 2013

Recorded as MICHAEL SMITH, DDS, MS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 16, 2013

Dentist (License #2901015630 in MI)

🟢
Initial NPI Registration & Enumeration August 10, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174524243
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2005
Last Update: April 16, 2013
Sole Proprietor: Yes

Mailing Address

12662 Riley St, Suite #130

Holland, MI 494248023

Phone: 6163996811

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.