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BRIAN CILLA DDS MS PC NPI 1922266741


NPI Information

NPI: 1922266741
Provider Name: BRIAN CILLA DDS MS PC

Doing Business As: WEST MICHIGAN PERIODONTICS & ADVANCED IMPLANT DENTISTRY

Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
1525 EAST BELTLINE NE
SUITE 201
GRAND RAPIDS, MI
ZIP 49525
Phone: (616) 365-1785
Get Directions

BRIAN CILLA DDS MS PC is a periodontics dentist in Grand Rapids, 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 CILLA DDS MS PC NPI is 1922266741. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As West Michigan Periodontics & Advanced Implant Dentistry.

The provider's business location address is:

1525 EAST BELTLINE NE
SUITE 201
GRAND RAPIDS, MI
ZIP 49525
Phone: (616) 365-1785
Fax: (616) 365-2968

The provider's authorized official is Brian Lee Cilla .
The authorized official title is Owner President and has the following contact phone number (616) 531-1920.

The enumeration date for this NPI number is 5/29/2008 and was last updated on 5/29/2008.


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: 5/5/2024

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