KALLI DENTAL PLLC NPI 1518887355

NPI Information

  • NPI: 1518887355
  • Provider Name: KALLI DENTAL PLLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 363 W 12 MILE RD
    MADISON HEIGHTS, MI
    ZIP 48071
  • Phone: (248) 504-1881

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NPI Details

KALLI DENTAL PLLC is a dental clinic center in Madison Heights, MI. KALLI DENTAL PLLC NPI is 1518887355. The provider is registered as an organization entity type.

The provider's business location address is:

363 W 12 MILE RD
MADISON HEIGHTS, MI
ZIP 48071-403
Phone: (248) 504-1881

The provider's authorized official is Gavin Kallabat .
The authorized official title is Dentist and has the following contact phone number (248) 504-1881.

The enumeration date for this NPI number is 7/21/2026 and was last updated on 7/21/2026.

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
1261QD0000XClinic/CenterDentalYes

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: 11/21/2025

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