Great Smile Dentistry

NPI #1194946418 in Escanaba, Michigan

Provider Information

NPI Number: 1194946418
Entity Type: Organization
Organization Name: Great Smile Dentistry
Primary Specialty: Dentist - General Practice
Enumeration Date: May 2, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 2201 LUDINGTON ST
City: Escanaba
State: Michigan
ZIP Code: 49829-2322
Phone: (906) 786-4033

Authorized Official

Name: DR. RANDY J BOGAUDO
Title: PRESIDENT
Phone: (906) 786-4033

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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