Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wide Smiles Mobile Dental

Organization Dentist · NPI 1255768818

Wide Smiles Mobile Dental is a Dentist in Macomb, Michigan. Licensed in Michigan. Registered with an NPI since 2013.

Licensed in
MI
In the registry since
2013

Practice location Address checks out

19332 Hudson River Dr
Macomb, MI 48044-4241
Phone: (586) 649-7906
Fax: (586) 231-0118
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 16556 (MI)

Record details

NPI number1255768818
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Douglas Shoha — Owner · (586) 649-7906
NPI enumeratedSeptember 27, 2013
Last updated in NPPESSeptember 27, 2013
Mailing address19332 Hudson River Dr, Macomb, MI 48044-4241

Other providers in Macomb