DR. TIMOTHY REILLY DDS PC NPI 1558968743

NPI Information

  • NPI: 1558968743
  • Provider Name: DR. TIMOTHY REILLY DDS PC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 6405 TELEGRAPH RD BLDG C
    BLOOMFIELD HILLS, MI
    ZIP 48301
  • Phone: (248) 642-4484

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NPI Details

DR. TIMOTHY REILLY DDS PC is a dental clinic center in Bloomfield Hills, MI. DR. TIMOTHY REILLY DDS PC NPI is 1558968743. The provider is registered as an organization entity type.

The provider's business location address is:

6405 TELEGRAPH RD BLDG C
BLOOMFIELD HILLS, MI
ZIP 48301-716
Phone: (248) 642-4484
Fax: (248) 885-8704

The provider's authorized official is Timothy Phillip Reilly .
The authorized official title is President and has the following contact phone number (248) 642-4484.

The enumeration date for this NPI number is 10/1/2020 and was last updated on 10/1/2020.

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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