PORTABLE DENTAL SERVICES (NPI# 1437483484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437483484 |
| Entity Type | Organization |
| Organization Name | PORTABLE DENTAL SERVICES |
| Practice Address |
15055 22 Mile Rd # 2 Shelby Twp MI 48315-4401 |
| Practice Telephone | 5868735567 |
| Mailing Telephone | 5868735567 |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2009-09-23 |
| Authorized Official Name | ROBERT VANCE ANTOLAK (PRESIDENT) |
| Authorized Official Telephone | 5868735567 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | PORTABLE DENTAL SERVICES INC. | 271 Strawberry Cir, Windsor, CT 06095 |
| Street Address |
15055 22 MILE RD # 2 |
| City | SHELBY TWP |
| State | MI |
| Zip Code | 48315-4401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885500 | Steven William Scavone | Counselor | 45660 Schonherr Rd., Shelby Township, MI 48315 | 2020-09-08 |
| 1861039844 | Lauren Nicole Himmel | Physician Assistant | 13051 Michael Dr., Shelby Twp., MI 48315 | 2019-12-09 |
| 1881173763 | Shelby Family Cosmetic & Restorative Dentistry | Dentist | 51221 Schoenherr Road., Suite 102, Shelby Township, MI 48315 | 2018-08-10 |
| 1023594223 | Apex Chiropractic, P.C. | Chiropractor | 51543 Schoenherr Road, Shelby Township, MI 48315 | 2018-07-11 |
| 1053809145 | Bam Management | Clinic/Center | 13433 Hall Road, Utica, MI 48315 | 2018-04-25 |
| 1659723203 | Patricia Gates | Registered Nurse | 23066 Balcombe, Utica, MI 48315 | 2016-07-07 |
| 1124481213 | Jai Shree Umiya Inc | Durable Medical Equipment & Medical Supplies | 13350 24 Mile Rd Ste 300, Shelby Township, MI 48315 | 2016-04-05 |
| 1679931828 | Team Rehabilitation S3, LLC | Physical Therapist | 13350 24 Mile Road, Suite 500, Shelby Township, MI 48315 | 2016-02-03 |
| 1164816484 | Sylvia White | Case Manager/Care Coordinator | 47100 Schoenherr Rd. Suite D, Shelby Township, MI 48315 | 2015-03-25 |
| 1770921389 | Amy Christine Vitale | Speech-Language Pathologist | 14145 Simone Dr., Developing Connections Inc, Shelby Twp, MI 48315 | 2013-06-06 |
| Find all providers in zip 48315 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679183552 | Jeffrey T Baker Dds PC | Dentist | 8152 25 Mile Rd Ste C, Shelby Twp, MI 48316 | 2020-08-05 |
| 1679835250 | Nathan C Stachel | Dentist | 51725 Van Dyke Ave, Shelby Twp, MI 48316-4451 | 2012-06-11 |
| 1871769232 | Eugene E Yuhas | Dentist | 53505 Van Dyke, Shelby Twp, MI 48316 | 2008-05-06 |
| 1801007745 | Advancedpleasantdental | Dentist | 48491 Van Dyke Rd, Shelby Twp, MI 48317 | 2007-05-24 |
| 1720113384 | Gregory John Pine | Dentist | 49095 Schoenherr, Shelby Twp, MI 48315 | 2007-02-23 |
| 1851461347 | Mark R Sullivan Dds | Dentist | 54951 Mound Road, Shelby Twp, MI 48316-6028 | 2006-11-09 |
| 1407812571 | Michelle Claudine Dziurgot | Dentist | 50202 Schoenherr, Shelby Twp, MI 48315 | 2006-04-26 |
| 1922538370 | Benjamin Thomas Gietzen | Dentist | 51333 Mound Rd, Shelby Twp, MI 48316-4344 | 2017-06-18 |
| 1659689750 | Charles P Beckwell Dds, Family&cosmetic Dental,plc | Dentist | 52835 Hayes Rd, Shelby Twp, MI 48315-2522 | 2010-09-23 |
| 1467689067 | Kristen Ann-roehrig Schotthoefer | Dentist | 45720 Schoenherr Rd, Shelby Twp, MI 48315-6033 | 2009-06-22 |
| Find all providers in SHELBY TWP | ||||
| City | SHELBY TWP |
| Zip Code | 48315 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.