BRIAN LEE CILLA DDS MS NPI 1215046909

NPI Information

  • NPI: 1215046909
  • Provider Name: BRIAN LEE CILLA, DDS MS
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3145 PRAIRIE ST SW
    SUITE 104
    GRANDVILLE, MI
    ZIP 49418
  • Phone: (616) 531-1920

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NPI Details

Brian Lee Cilla, DDS MS is a periodontics dentist in Grandville, MI. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. Brian Lee Cilla, DDS MS NPI is 1215046909. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3145 PRAIRIE ST SW
SUITE 104
GRANDVILLE, MI
ZIP 49418-098
Phone: (616) 531-1920
Fax: (616) 531-4275

The NPI 1215046909 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 8/29/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0300XDentistPeriodontics290104700MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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