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Wide Smiles Mobile Dental

Dentist in Macomb, MI · enumerated 2013 · authorized official Douglas Shoha, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1255768818

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Registry record

Entity type Organization (Type 2)
Legal business name Wide Smiles Mobile Dental
Practice address 19332 Hudson River Dr, Macomb, MI, 48044
Fax (586) 231-0118
Enumeration date Sep 27, 2013
Last updated in NPPES Sep 27, 2013

Taxonomy & classification

122300000X Dentist Dental Providers · License 16556 (MI) Primary

Authorized official

Name Douglas Shoha
Title Owner

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Wide Smiles Mobile Dental located?
The practice location on file with NPPES is in Macomb, MI.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-09-27. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-09-27.