IndividualActiveAccepts Medicare
Michael Smith, DDS, MS
NPI 1174524243 · Endodontics · Holland, MI
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1174524243
- Entity type
- Individual
- Primary specialty
- EndodonticsDental Providers
- Credential
- DDS, MS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2901015630 (MI)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12662 Riley St
Suite #130
Holland, MI 49424-8023
Phone: (616) 399-6811
Fax: (616) 399-6812
Street-level locationGet directions
Mailing address
12662 Riley St
Holland, MI 49424-8023
Registry dates
- Enumerated
- 2005-08-10
- Last updated
- 2013-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.