Brian Cilla Dds Ms Pc in Grandville - Periodontics

Brian Cilla Dds Ms Pc - NPI 1669630489

Brian Cilla Dds Ms Pc is a Periodontics in Grandville, Michigan. Brian Cilla Dds Ms Pc practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Brian Cilla Dds Ms Pc is 1669630489. The last update date is 2008-05-29.

Brian Cilla Dds Ms Pc's current location address is 3145 Prairie St Sw, Grandville, Michigan. You can contact this provider via phone number 6165311920 and fax number 6165314275. The mailing address for Brian Cilla Dds Ms Pc is 3145 Prairie St Sw, Grandville, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Brian Cilla Dds Ms Pc
Address 3145 Prairie St Sw, Grandville, Michigan
Phone Number 6165311920
Fax Number 6165314275
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER PRES
Authorized Official Name Cilla Lee Brian
Credentials DDS MS
Telephone Number 6165311920

NPI Number Detail

NPI Number 1669630489
Provider Enumeration Date 2008-05-29
Last Updated Date 2008-05-29

Provider Mailing Address Detail

Address 3145 Prairie St Sw
City Grandville
State Michigan (MI)
Post Code 49418
Phone Number 6165311920
Fax Number 6165314275

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 290104700
Definition:
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 structure

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FAQs about Brian Cilla Dds Ms Pc

What is the unique identifier code issued to Brian Cilla Dds Ms Pc by the Centers for Medicare & Medicaid Services?

The Brian Cilla Dds Ms Pc has been assigned the NPI (National Provider Identifier) 1669630489. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Brian Cilla Dds Ms Pc?

The Brian Cilla Dds Ms Pc is physically situated at 3145 Prairie St Sw, in the city of Grandville, state of MI, with the postal code 49418.

What is Brian Cilla Dds Ms Pc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Brian Cilla Dds Ms Pc's area of specialization is Periodontics, and the corresponding taxonomy code that categorizes this field of practice is 1223P0300X.

When did the Brian Cilla Dds Ms Pc receive its 1669630489?

The Brian Cilla Dds Ms Pc was issued its 1669630489 on 2008-05-29, which is the date when the organization was assigned this unique identifier.

When was the information related to Brian Cilla Dds Ms Pc most recently updated or refreshed?

The details pertaining to the Brian Cilla Dds Ms Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-05-29.

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