OrganizationActive
Wide Smiles Mobile Dental
NPI 1255768818 · Dentist · Macomb, MI
Wide Smiles Mobile Dental is a Dentist organization in Macomb, MI (NPI 1255768818).
Provider details
- NPI number
- 1255768818
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Douglas Shoha, Owner(586) 649-7906
- License
- 16556 (MI)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
19332 Hudson River Dr
Macomb, MI 48044-4241
Phone: (586) 649-7906
Fax: (586) 231-0118
Street-level locationGet directions
Mailing address
19332 Hudson River Dr
Macomb, MI 48044-4241
Registry dates
- Enumerated
- 2013-09-27
- Last updated
- 2013-09-27
Frequently asked questions
- What is Wide Smiles Mobile Dental's NPI number?
- Wide Smiles Mobile Dental's National Provider Identifier (NPI) is 1255768818, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wide Smiles Mobile Dental?
- Wide Smiles Mobile Dental is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Wide Smiles Mobile Dental located?
- Wide Smiles Mobile Dental's practice location on file with NPPES is 19332 Hudson River Dr, Macomb, MI 48044-4241.
- What is Wide Smiles Mobile Dental's phone number?
- The practice phone number listed in the NPPES registry for Wide Smiles Mobile Dental is (586) 649-7906.
- Who is the authorized official for Wide Smiles Mobile Dental?
- The authorized official listed on Wide Smiles Mobile Dental's NPPES record is Douglas Shoha, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wide Smiles Mobile Dental's NPI active?
- Yes — Wide Smiles Mobile Dental's NPI (1255768818) is active in the NPPES registry as of the last update on 2013-09-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.