Provider Demographics
NPI:1447043062
Name:BIG SMILE CONSULTING, LLC
Entity type:Organization
Organization Name:BIG SMILE CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DENTAL HYGIENIST
Authorized Official - Prefix:MS
Authorized Official - First Name:TAISIR
Authorized Official - Middle Name:S
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:RDH, BSDH
Authorized Official - Phone:313-522-1588
Mailing Address - Street 1:3130 HANLEY ST
Mailing Address - Street 2:
Mailing Address - City:HAMTRAMCK
Mailing Address - State:MI
Mailing Address - Zip Code:48212-3510
Mailing Address - Country:US
Mailing Address - Phone:313-522-1588
Mailing Address - Fax:
Practice Address - Street 1:3130 HANLEY ST
Practice Address - Street 2:
Practice Address - City:HAMTRAMCK
Practice Address - State:MI
Practice Address - Zip Code:48212-3510
Practice Address - Country:US
Practice Address - Phone:313-522-1588
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-27
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
No1223D0001XDental ProvidersDentistDental Public Health